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Open Biopsy Of A Breast Lump

New Hampshire 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?

$4,317

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,317 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $3,890 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$427$302 to $589
Facility feeThe hospital or surgery center$3,890$1,122 to $6,026

How much rates vary

Facilitymedian $3,890 · 10th to 90th $759 to $9,550Professionalmedian $427 · 10th to 90th $240 to $794
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $427

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
$758.58
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$524.81
Typical High
$954.99
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$933.25

Where New Hampshire 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

New Hampshire· 16th of 50

$4,317

$427 physician + $3,890 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.