go back

Open Biopsy Of A Breast Lump

Minnesota 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?

$2,479

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

Insurers have agreed to pay about $2,479 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $1,862 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$447 to $832
Facility feeThe hospital or surgery center$1,862$891 to $5,754

How much rates vary

Facilitymedian $1,862 · 10th to 90th $316 to $11,482Professionalmedian $617 · 10th to 90th $324 to $1,148
$200$500$1K$2K$5K$10K$20Kfacility $1,862professional $617

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
$208.93
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,511.38
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$1,348.96
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$2,398.83
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$489.78
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$724.44
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,248.07
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$1,122.02

Where Minnesota 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

Minnesota· 35th of 50

$2,479

$617 physician + $1,862 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.