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Surgical Removal of a Breast Lump

Kansas 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?

$4,415

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

Insurers have agreed to pay about $4,415 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $3,890 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$525$437 to $646
Facility feeThe hospital or surgery center$3,890$2,089 to $6,310

How much rates vary

Facilitymedian $3,890 · 10th to 90th $550 to $8,128Professionalmedian $525 · 10th to 90th $372 to $692
$500$1K$2K$5K$10Kfacility $3,890professional $525

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
$549.54
Median
$4,570.88
Typical High
$8,128.31
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$691.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,570.88
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,884.03
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$851.14

Where Kansas 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

Kansas· 27th of 51

$4,415

$525 physician + $3,890 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.