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Breast Reconstruction With A Tissue Expander

Washington 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.

Facilitymedian $17,783 · 10th–90th $2,291$77,6250%5%10th90th$17,783$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$17,378.01
Typical High
$66,069.34
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,943.28
Median
$37,153.52
Typical High
$93,325.43
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$46,773.51
Typical High
$95,499.26
Asuris Northwest Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$44,668.36
Median
$70,794.58
Typical High
$144,543.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$12,589.25
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,090.30
Typical High
$45,708.82
Kaiser Permanente
Setting
Facility
Modifier
50 · Both sides
Typical Low
$16,218.10
Median
$50,118.72
Typical High
$131,825.67
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$2,884.03
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,584.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$48,977.88
Typical High
$95,499.26
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$48,977.88
Median
$72,443.60
Typical High
$144,543.98
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$42,657.95
Typical High
$79,432.82