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Surgical Removal of a Breast Lump

Maine 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?

$5,851

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

Insurers have agreed to pay about $5,851 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $5,248 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$603$427 to $794
Facility feeThe hospital or surgery center$5,248$490 to $8,511

How much rates vary

Facilitymedian $5,248 · 10th to 90th $331 to $9,120Professionalmedian $603 · 10th to 90th $355 to $977
$500$1K$2K$5K$10Kfacility $5,248professional $603

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
$331.13
Median
$5,248.07
Typical High
$9,120.11
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,148.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,174.90
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$5,248.07
Typical High
$9,120.11
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,174.90

Where Maine 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

Maine· 16th of 51

$5,851

$603 physician + $5,248 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.