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Breast Reconstruction With A Tissue Expander

Vermont rates for HCPCS 19357

Rebuilds a breast by placing a temporary balloon-like expander under the skin or chest muscle. Over the following weeks or months salt water is added through a small port to stretch the tissue gradually, making room for a permanent implant later. It may be done at the time of the original breast surgery or as a separate operation afterwards, and the later exchange for a permanent implant is charged separately.

Rates data updated October 2026.

How much does Breast Reconstruction With A Tissue Expander cost?

$5,711

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $5,711 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $3,715 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,995$1,622 to $2,188
Facility feeThe hospital or surgery center$3,715$2,692 to $10,233

How much rates vary

Facilitymedian $3,715 · 10th to 90th $661 to $10,965Professionalmedian $1,995 · 10th to 90th $1,479 to $3,162
$500$1K$2K$5K$10Kfacility $3,715professional $1,995

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,778.28
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$4,073.80
Typical High
$10,964.78
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$1,995.26
Typical High
$3,019.95
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,089.30
Typical High
$3,630.78

Where Vermont sits

The same service costs 6.3 times more in Wyoming than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Vermont· 36th of 51

$5,711

$1,995 physician + $3,715 facility

WY $21,505HI $3,422

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.