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Surgical Removal of a Breast Lump

Georgia 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?

$4,855

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

Insurers have agreed to pay about $4,855 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $4,266 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$589$447 to $851
Facility feeThe hospital or surgery center$4,266$1,995 to $5,888

How much rates vary

Facilitymedian $4,266 · 10th to 90th $708 to $8,710Professionalmedian $589 · 10th to 90th $389 to $1,096
$500$1K$2K$5K$10K$20Kfacility $4,266professional $589

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
$512.86
Median
$4,570.88
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,466.84
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,162.28
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,244.36
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,000.00
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,000.00

Where Georgia 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

Georgia· 22nd of 51

$4,855

$589 physician + $4,266 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.