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Surgical Removal of a Breast Lump

Washington, DC 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?

$646

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $646 for this service. Most negotiated rates run $468 to $2,344.

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.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $537 to $6,457Professionalmedian $537 · 10th to 90th $427 to $741
$500$1K$2K$5K$10K$20Kfacility $3,890professional $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
$3,388.44
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$676.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$2,570.40
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$1,230.27

Where Washington, DC sits

The same service costs 5.2 times more in Hawaii than in Delaware. 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.

Washington, DC· 31st of 51

$646

HI $2,344DE $447

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.