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Surgical Removal of a Breast Lump

Missouri 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?

$2,900

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

Insurers have agreed to pay about $2,900 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $2,399 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$501$417 to $661
Facility feeThe hospital or surgery center$2,399$955 to $3,715

How much rates vary

Facilitymedian $2,399 · 10th to 90th $447 to $5,495Professionalmedian $501 · 10th to 90th $363 to $1,000
$500$1K$2K$5K$10Kfacility $2,399professional $501

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
$407.38
Median
$2,630.27
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,258.93
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$1,148.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,862.09
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$588.84
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$891.25
Typical High
$26,302.68
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,019.95
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$870.96

Where Missouri 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

Missouri· 44th of 51

$2,900

$501 physician + $2,399 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.