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Surgical Removal of a Breast Lump

Arkansas 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?

$2,287

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

Insurers have agreed to pay about $2,287 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $1,820 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$468$437 to $562
Facility feeThe hospital or surgery center$1,820$955 to $3,162

How much rates vary

Facilitymedian $1,820 · 10th to 90th $525 to $3,981Professionalmedian $468 · 10th to 90th $372 to $776
$500$1K$2K$5Kfacility $1,820professional $468

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
$467.74
Median
$1,412.54
Typical High
$2,511.89
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$660.69
Median
$660.69
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$870.96
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$870.96

Where Arkansas 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

Arkansas· 47th of 51

$2,287

$468 physician + $1,820 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.