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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.

Facilitymedian $3,715 · 10th–90th $537$6,4570%5%10th90th$3,715Professionalmedian $537 · 10th–90th $427$7410%20%10th90th$537$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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