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Surgical Removal of a Breast Lump

Alabama 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 July 2026.

How much does Surgical Removal of a Breast Lump cost?

$2,526

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

Insurers have agreed to pay about $2,526 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $2,089 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$437$398 to $490
Facility feeThe hospital or surgery center$2,089$1,148 to $2,884

How much rates vary

Facilitymedian $2,089 · 10th to 90th $603 to $3,890Professionalmedian $437 · 10th to 90th $355 to $692
$500$1K$2K$5Kfacility $2,089professional $437

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
$398.11
Median
$1,258.93
Typical High
$3,630.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$380.19
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,884.03
Median
$3,467.37
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$758.58

Where Alabama sits

The same service costs 6.3 times more in Indiana than in North Dakota. 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

Alabama· 46th of 51

$2,526

$437 physician + $2,089 facility

IN $8,607ND $1,372

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.