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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.

How much does Surgical Removal of a Breast Lump cost?

$3,900

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

Insurers have agreed to pay about $3,900 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $3,311 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$427 to $851
Facility feeThe hospital or surgery center$3,311$1,023 to $7,762

How much rates vary

Facilitymedian $3,311 · 10th to 90th $501 to $9,772Professionalmedian $589 · 10th to 90th $363 to $1,096
$200$500$1K$2K$5K$10K$20Kfacility $3,311professional $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
$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

Where Illinois 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

Illinois· 33rd of 51

$3,900

$589 physician + $3,311 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.