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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.

Facilitymedian $3,162 · 10th–90th $339$6,1660%10%10th90th$3,162Professionalmedian $562 · 10th–90th $363$1,9950%10%10th90th$562$100.0$200.0$500.0$1.0K$2.0K$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
$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