go back

Open Biopsy Of A Breast Lump

Alabama 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?

$2,371

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

Insurers have agreed to pay about $2,371 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $2,089 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$282$209 to $309
Facility feeThe hospital or surgery center$2,089$1,096 to $2,630

How much rates vary

Facilitymedian $2,089 · 10th to 90th $646 to $3,548Professionalmedian $282 · 10th to 90th $191 to $427
$200$500$1K$2K$5Kfacility $2,089professional $282

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
$295.12
Median
$1,096.48
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$489.78

Where Alabama 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

Alabama· 36th of 50

$2,371

$282 physician + $2,089 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.