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Surgical Removal of a Breast Lump

Kentucky 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 $3,020 · 10th–90th $617$8,5110%5%10th90th$3,020Professionalmedian $457 · 10th–90th $347$9770%10%10th90th$457$50.0$200.0$1.0K$5.0K

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
$489.78
Median
$1,412.54
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$602.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$630.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$2,754.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$851.14