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Surgical Removal of a Breast Lump

Alaska rates for HCPCS 19120

A surgeon makes an incision to remove a lump, cyst, or other abnormal area of tissue from the breast, along with a margin of surrounding tissue, and sends it to a lab for examination. This can be done to treat a benign growth or to remove and evaluate tissue that may be cancerous. It differs from a needle biopsy in that the tissue is removed surgically rather than sampled with a needle.

Rates data updated October 2026.

How much does Surgical Removal of a Breast Lump cost?

$5,246

Typical total for the visit. In Alaska, October 2026.

Insurers have agreed to pay about $5,246 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $3,548 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$1,698$933 to $2,138
Facility feeThe hospital or surgery center$3,548$2,818 to $7,413

How much rates vary

Facilitymedian $3,548 · 10th to 90th $2,042 to $12,023Professionalmedian $1,698 · 10th to 90th $468 to $2,818
$500$1K$2K$5K$10K$20Kfacility $3,548professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,995.26
Median
$10,715.19
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$1,995.26
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$676.08
Typical High
$1,621.81
Moda Health
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,884.03
Typical High
$10,000.00
Moda Health
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$1,995.26
Typical High
$3,630.78
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$3,235.94
Typical High
$4,365.16
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,137.96
Providence
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$3,890.45
Typical High
$12,589.25
Providence
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$933.25
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$6,165.95
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$1,288.25
Typical High
$2,884.03

Where Alaska sits

The same service costs 7.2 times more in Vermont than in Maine. 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

Alaska· 6th of 51

$5,246

$1,698 physician + $3,548 facility

VT $9,370ME $1,294

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.