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Surgical Removal of a Breast Lump

Hawaii 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 October 2026.

How much does Surgical Removal of a Breast Lump cost?

$1,935

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,935 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $1,445 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$372 to $661
Facility feeThe hospital or surgery center$1,445$1,259 to $2,570

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $4,467Professionalmedian $490 · 10th to 90th $30 to $813
$50$100$200$500$1K$2K$5Kfacility $1,445professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,818.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$426.58
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$660.69
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$660.69
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$660.69
Typical High
$660.69
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$489.78
Typical High
$4,786.30

Where Hawaii sits

The same service costs 7.2 times more in Vermont than in Maine. 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

Hawaii· 46th of 51

$1,935

$490 physician + $1,445 facility

VT $9,370ME $1,294

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.