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Surgical Removal of a Breast Lump

Iowa 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?

$4,714

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

Insurers have agreed to pay about $4,714 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $3,802 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$912$501 to $1,660
Facility feeThe hospital or surgery center$3,802$1,148 to $6,457

How much rates vary

Facilitymedian $3,802 · 10th to 90th $776 to $9,333Professionalmedian $912 · 10th to 90th $398 to $2,399
$500$1K$2K$5K$10Kfacility $3,802professional $912

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
$776.25
Median
$3,801.89
Typical High
$9,332.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$776.25
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,479.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,023.29
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,445.44
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
$4,365.16
Median
$6,456.54
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,258.93

Where Iowa 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

Iowa· 23rd of 51

$4,714

$912 physician + $3,802 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.