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Open Biopsy Of A Breast Lump

Nevada 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?

$2,555

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

Insurers have agreed to pay about $2,555 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $2,239 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$316$229 to $447
Facility feeThe hospital or surgery center$2,239$955 to $4,467

How much rates vary

Facilitymedian $2,239 · 10th to 90th $214 to $6,026Professionalmedian $316 · 10th to 90th $214 to $1,202
$50$200$1K$5Kfacility $2,239professional $316

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
$213.80
Median
$2,137.96
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$549.54
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$549.54
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$524.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$346.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$630.96

Where Nevada 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

Nevada· 33rd of 50

$2,555

$316 physician + $2,239 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.