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Open Biopsy Of A Breast Lump

Indiana 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 $8,710 · 10th–90th $417$18,6210%5%10%10th90th$8,710Professionalmedian $282 · 10th–90th $191$5750%10%10th90th$282$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$269.15
Median
$1,380.38
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$13,803.84
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$407.38
Typical High
$602.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$218.78
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,025.60
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$501.19