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Open Biopsy Of A Breast Lump

Alaska rates for HCPCS 19101

A surgeon makes a small incision in the breast and removes a piece of a lump or abnormal area so it can be examined under a microscope. Only part of the abnormality is taken, enough to reach a diagnosis, rather than the whole of it. It is used when needle sampling has not given a clear answer or when a larger piece of tissue is needed.

Rates data updated July 2026.

How much does Open Biopsy Of A Breast Lump cost?

$1,573

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $1,573 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $661 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$457 to $1,349
Facility feeThe hospital or surgery center$661$355 to $1,950

How much rates vary

Facilitymedian $661 · 10th to 90th $282 to $6,607Professionalmedian $912 · 10th to 90th $224 to $1,738
$200$500$1K$2K$5K$10Kfacility $661professional $912

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. 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
Global
Typical Low
$724.44
Median
$4,786.30
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$588.84
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$724.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$1,548.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,047.13
Typical High
$2,089.30
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$1,548.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$501.19
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$831.76
Typical High
$1,949.84

Where Alaska sits

The same service costs 18.2 times more in Delaware 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.

Physician feeFacility fee

Alaska· 42nd of 50

$1,573

$912 physician + $661 facility

DE $9,628MD $528

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.