go back

Surgical Removal of a Breast Lump

Illinois 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.

Facilitymedian $3,631 · 10th–90th $501$9,7720%5%10th90th$3,631Professionalmedian $589 · 10th–90th $363$1,0960%5%10%10th90th$589$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,025.60
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,623.41
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$1,819.70
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$1,047.13