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Open Biopsy Of A Breast Lump

Wyoming 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?

$676

Typical physician fee. In Wyoming, July 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $617 to $832.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,630 to $10,471Professionalmedian $676 · 10th to 90th $398 to $832
$500$1K$2K$5K$10Kfacility $4,365professional $676

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$7,943.28
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$501.19
Typical High
$912.01

Where Wyoming sits

The same service costs 7.9 times more in California than in Rhode Island. 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.

Wyoming· 5th of 51

$676

CA $2,138RI $269

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.