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Open Biopsy Of A Breast Lump

Louisiana 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?

$2,646

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

Insurers have agreed to pay about $2,646 for this procedure. That total is two separate charges: $302 to the doctor who performs it, and $2,344 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$257 to $407
Facility feeThe hospital or surgery center$2,344$977 to $3,715

How much rates vary

Facilitymedian $2,344 · 10th to 90th $407 to $5,495Professionalmedian $302 · 10th to 90th $214 to $437
$200$500$1K$2K$5K$10Kfacility $2,344professional $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
$371.54
Median
$1,513.56
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,897.79
Typical High
$6,918.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$407.38
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,951.21
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$549.54

Where Louisiana 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

Louisiana· 31st of 50

$2,646

$302 physician + $2,344 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.