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Breast Reconstruction With A Tissue Expander

West Virginia 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?

$3,565

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $3,565 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $1,905 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,660$1,202 to $2,630
Facility feeThe hospital or surgery center$1,905$1,202 to $4,467

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,202 to $33,113Professionalmedian $1,660 · 10th to 90th $1,096 to $4,169
$1K$2K$5K$10K$20K$50Kfacility $1,905professional $1,660

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
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,258.93
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,318.26
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,862.09
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$7,762.47
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$17,378.01
Typical High
$66,069.34
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$4,073.80
Typical High
$38,904.51
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$3,548.13

Where West Virginia 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

West Virginia· 50th of 51

$3,565

$1,660 physician + $1,905 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.