go back

Open Biopsy Of A Breast Lump

Kansas 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?

$3,769

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

Insurers have agreed to pay about $3,769 for this procedure. That total is two separate charges: $302 to the doctor who performs it, and $3,467 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$302$234 to $447
Facility feeThe hospital or surgery center$3,467$1,820 to $5,754

How much rates vary

Facilitymedian $3,467 · 10th to 90th $347 to $7,943Professionalmedian $302 · 10th to 90th $191 to $513
$200$500$1K$2K$5K$10Kfacility $3,467professional $302

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
$346.74
Median
$3,630.78
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,570.88
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$2,884.03
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$537.03

Where Kansas 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

Kansas· 23rd of 50

$3,769

$302 physician + $3,467 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.