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Surgical Removal of a Breast Lump

Colorado 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?

$6,563

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

Insurers have agreed to pay about $6,563 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $6,026 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$427 to $724
Facility feeThe hospital or surgery center$6,026$2,042 to $8,913

How much rates vary

Facilitymedian $6,026 · 10th to 90th $575 to $13,183Professionalmedian $537 · 10th to 90th $380 to $1,072
$500$1K$2K$5K$10K$20Kfacility $6,026professional $537

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
$537.03
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,000.00
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$2,511.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$812.83
Typical High
$1,230.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,122.02

Where Colorado 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

Colorado· 13th of 51

$6,563

$537 physician + $6,026 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.