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Open Biopsy Of A Breast Lump

Arkansas 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?

$1,809

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

Insurers have agreed to pay about $1,809 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $1,514 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$295$240 to $380
Facility feeThe hospital or surgery center$1,514$759 to $3,467

How much rates vary

Facilitymedian $1,514 · 10th to 90th $363 to $3,890Professionalmedian $295 · 10th to 90th $200 to $468
$200$500$1K$2K$5Kfacility $1,514professional $295

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
$263.03
Median
$1,071.52
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$295.12
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$549.54

Where Arkansas 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

Arkansas· 40th of 50

$1,809

$295 physician + $1,514 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.