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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.

Rates data updated July 2026.

How much does Breast Reconstruction With A Tissue Expander cost?

$6,457

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $2,692 to $21,878.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,585 to $53,703
$2K$5K$10K$20K$50K$100Kfacility $6,457

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$7,943.28
Typical High
$48,977.88
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,079.46
Median
$16,982.44
Typical High
$93,325.43
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$54,954.09
Typical High
$97,723.72
Asuris Northwest Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$44,668.36
Median
$83,176.38
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
$1,949.84
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
$34,673.69
Median
$52,480.75
Typical High
$95,499.26
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$51,286.14
Median
$77,624.71
Typical High
$144,543.98
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$42,657.95
Typical High
$79,432.82

Where Washington sits

The same service costs 16.2 times more in West Virginia than in Maryland. 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.

Washington· 18th of 51

$6,457

WV $19,055MD $1,175

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.