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Open Biopsy Of A Breast Lump

Nebraska 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?

$5,233

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

Insurers have agreed to pay about $5,233 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $4,786 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$447$302 to $692
Facility feeThe hospital or surgery center$4,786$3,162 to $7,943

How much rates vary

Facilitymedian $4,786 · 10th to 90th $708 to $13,490Professionalmedian $447 · 10th to 90th $200 to $1,445
$200$500$1K$2K$5K$10K$20Kfacility $4,786professional $447

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
$2,344.23
Median
$5,011.87
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$426.58
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$630.96
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$4,897.79
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$776.25

Where Nebraska 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

Nebraska· 11th of 50

$5,233

$447 physician + $4,786 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.