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Surgical Removal of a Breast Lump

Indiana 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?

$8,607

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

Insurers have agreed to pay about $8,607 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $8,128 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$407 to $603
Facility feeThe hospital or surgery center$8,128$1,698 to $12,023

How much rates vary

Facilitymedian $8,128 · 10th to 90th $513 to $17,378Professionalmedian $479 · 10th to 90th $347 to $832
$500$1K$2K$5K$10K$20Kfacility $8,128professional $479

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
$457.09
Median
$4,073.80
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,332.54
Median
$10,232.93
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$10,232.93
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$794.33

Where Indiana 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

Indiana· 1st of 51

$8,607

$479 physician + $8,128 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.