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Surgical Removal of a Breast Lump

Delaware 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?

$8,022

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

Insurers have agreed to pay about $8,022 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $7,586 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$437$363 to $603
Facility feeThe hospital or surgery center$7,586$5,888 to $8,913

How much rates vary

Facilitymedian $7,586 · 10th to 90th $4,786 to $9,120Professionalmedian $437 · 10th to 90th $363 to $1,096
$500$1K$2K$5K$10Kfacility $7,586professional $437

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
$4,786.30
Median
$7,943.28
Typical High
$9,120.11
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$758.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$7,079.46
Typical High
$16,595.87
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$831.76

Where Delaware 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

Delaware· 2nd of 51

$8,022

$437 physician + $7,586 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.