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Surgical Removal of a Breast Lump

Idaho 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?

$6,171

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

Insurers have agreed to pay about $6,171 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $5,495 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$676$513 to $933
Facility feeThe hospital or surgery center$5,495$933 to $8,913

How much rates vary

Facilitymedian $5,495 · 10th to 90th $676 to $11,482Professionalmedian $676 · 10th to 90th $417 to $1,585
$500$1K$2K$5K$10Kfacility $5,495professional $676

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
$933.25
Median
$8,128.31
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,073.80
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,754.23
Median
$5,754.40
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$891.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,023.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,511.38
Typical High
$12,589.25
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,120.11
Median
$13,182.57
Typical High
$18,620.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$851.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,311.31
Typical High
$6,025.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$891.25

Where Idaho 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

Idaho· 14th of 51

$6,171

$676 physician + $5,495 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.