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Surgical Removal of a Breast Lump

Massachusetts 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?

$3,383

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

Insurers have agreed to pay about $3,383 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $2,692 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$437 to $1,122
Facility feeThe hospital or surgery center$2,692$646 to $4,074

How much rates vary

Facilitymedian $2,692 · 10th to 90th $490 to $6,761Professionalmedian $692 · 10th to 90th $363 to $1,660
$500$1K$2K$5K$10Kfacility $2,692professional $692

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
$371.54
Median
$3,235.94
Typical High
$6,760.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$1,905.46
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,370.32
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$1,513.56
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$3,890.45
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,000.00
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$1,513.56
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,466.84
Typical High
$8,317.64
Health New England
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$1,288.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,370.32
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,584.89

Where Massachusetts 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

Massachusetts· 38th of 51

$3,383

$692 physician + $2,692 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.