go back

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.

How much does Surgical Removal of a Breast Lump cost?

$3,477

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

Insurers have agreed to pay about $3,477 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $3,020 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$457$380 to $676
Facility feeThe hospital or surgery center$3,020$1,000 to $5,370

How much rates vary

Facilitymedian $3,020 · 10th to 90th $617 to $8,511Professionalmedian $457 · 10th to 90th $347 to $977
$500$1K$2K$5K$10Kfacility $3,020professional $457

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
$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

Where Kentucky 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

Kentucky· 36th of 51

$3,477

$457 physician + $3,020 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.