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Surgical Removal of a Breast Lump

Maryland 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?

$3,725

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

Insurers have agreed to pay about $3,725 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $3,162 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$562$427 to $1,023
Facility feeThe hospital or surgery center$3,162$525 to $4,074

How much rates vary

Facilitymedian $3,162 · 10th to 90th $339 to $6,166Professionalmedian $562 · 10th to 90th $363 to $1,995
$100$200$500$1K$2K$5Kfacility $3,162professional $562

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
$338.84
Median
$3,162.28
Typical High
$6,165.95
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$1,995.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,023.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$870.96

Where Maryland 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

Maryland· 35th of 51

$3,725

$562 physician + $3,162 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.