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Surgical Removal of a Breast Lump

Michigan 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?

$5,666

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

Insurers have agreed to pay about $5,666 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $5,129 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$537$427 to $708
Facility feeThe hospital or surgery center$5,129$3,090 to $7,762

How much rates vary

Facilitymedian $5,129 · 10th to 90th $603 to $9,120Professionalmedian $537 · 10th to 90th $355 to $955
$500$1K$2K$5K$10Kfacility $5,129professional $537

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
$524.81
Median
$5,128.61
Typical High
$9,120.11
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$954.99
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$851.14
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$794.33

Where Michigan 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

Michigan· 17th of 51

$5,666

$537 physician + $5,129 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.