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Surgical Removal of a Breast Lump

Florida 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?

$7,914

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

Insurers have agreed to pay about $7,914 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $7,413 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$407 to $776
Facility feeThe hospital or surgery center$7,413$3,548 to $10,233

How much rates vary

Facilitymedian $7,413 · 10th to 90th $955 to $14,454Professionalmedian $501 · 10th to 90th $355 to $1,047
$500$1K$2K$5K$10K$20Kfacility $7,413professional $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
$954.99
Median
$7,079.46
Typical High
$13,182.57
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,344.23
Median
$7,413.10
Typical High
$20,417.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,071.52
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$741.31
AvMed
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$4,073.80
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$13,182.57
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$977.24
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$436.52
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$95.50
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,623.41
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$616.60

Where Florida 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

Florida· 5th of 51

$7,914

$501 physician + $7,413 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.