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Breast Reconstruction With A Tissue Expander

Wyoming 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?

$21,505

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

Insurers have agreed to pay about $21,505 for this procedure. That total is two separate charges: $2,884 to the doctor who performs it, and $18,621 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,884$2,692 to $3,467
Facility feeThe hospital or surgery center$18,621$7,762 to $18,621

How much rates vary

Facilitymedian $18,621 · 10th to 90th $6,457 to $18,621Professionalmedian $2,884 · 10th to 90th $2,042 to $3,467
$2K$5K$10K$20Kfacility $18,621professional $2,884

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
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,621.81
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,884.03
Typical High
$3,467.37
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$5,248.07
BCBS Wyoming
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$1,621.81
Median
$1,737.80
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$15,488.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$3,467.37
United
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$25,118.86
United
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$5,888.44

Where Wyoming 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

Wyoming· 1st of 51

$21,505

$2,884 physician + $18,621 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.