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Open Biopsy Of A Breast Lump

Kentucky 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 $2,291 · 10th–90th $372$5,2480%10%10th90th$2,291Professionalmedian $295 · 10th–90th $195$5620%10%10th90th$295$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$263.03
Median
$1,288.25
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$416.87
Typical High
$724.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$562.34