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Open Biopsy Of A Breast Lump

Oregon 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?

$1,141

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

Insurers have agreed to pay about $1,141 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $617 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$363 to $692
Facility feeThe hospital or surgery center$617$457 to $692

How much rates vary

Facilitymedian $617 · 10th to 90th $331 to $6,166Professionalmedian $525 · 10th to 90th $245 to $891
$100$500$2K$10Kfacility $617professional $525

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
$436.52
Median
$794.33
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$562.34
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$831.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$724.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$812.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$794.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$537.03
Typical High
$851.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,589.25
Typical High
$15,135.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$891.25

Where Oregon 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

Oregon· 47th of 50

$1,141

$525 physician + $617 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.