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Open Biopsy Of A Breast Lump

Mississippi 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?

$1,597

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

Insurers have agreed to pay about $1,597 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $1,288 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$309$214 to $427
Facility feeThe hospital or surgery center$1,288$603 to $2,692

How much rates vary

Facilitymedian $1,288 · 10th to 90th $263 to $4,786Professionalmedian $309 · 10th to 90th $200 to $589
$50$200$1K$5Kfacility $1,288professional $309

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
$190.55
Median
$645.65
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,818.38
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$588.84

Where Mississippi 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

Mississippi· 41st of 50

$1,597

$309 physician + $1,288 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.