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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.

Facilitymedian $661 · 10th–90th $282$6,6070%5%10%10th90th$661Professionalmedian $324 · 10th–90th $195$1,2020%5%10%10th90th$324$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$933.25
Median
$6,606.93
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$724.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,548.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$870.96
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