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Open Biopsy Of A Breast Lump

Oklahoma 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?

$3,560

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

Insurers have agreed to pay about $3,560 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $3,236 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$324$245 to $398
Facility feeThe hospital or surgery center$3,236$1,349 to $5,129

How much rates vary

Facilitymedian $3,236 · 10th to 90th $794 to $6,761Professionalmedian $324 · 10th to 90th $214 to $501
$200$500$1K$2K$5K$10Kfacility $3,236professional $324

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
$331.13
Median
$1,513.56
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,365.16
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$794.33
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,019.95
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$446.68

Where Oklahoma 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

Oklahoma· 25th of 50

$3,560

$324 physician + $3,236 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.