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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.

Facilitymedian $8,128 · 10th–90th $513$17,7830%10%10th90th$8,128Professionalmedian $479 · 10th–90th $347$8320%10%20%10th90th$479$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$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