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Surgical Removal of a Breast Lump

Arizona 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?

$4,049

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

Insurers have agreed to pay about $4,049 for this procedure. That total is two separate charges: $501 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$501$398 to $955
Facility feeThe hospital or surgery center$3,548$2,344 to $5,888

How much rates vary

Facilitymedian $3,548 · 10th to 90th $891 to $7,413Professionalmedian $501 · 10th to 90th $363 to $1,995
$500$1K$2K$5Kfacility $3,548professional $501

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
$1,445.44
Median
$4,365.16
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$660.69
Median
$2,754.23
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$1,995.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,818.38
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$3,801.89
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$891.25

Where Arizona 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

Arizona· 32nd of 51

$4,049

$501 physician + $3,548 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.