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Surgical Removal of a Breast Lump

Montana 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 $813 · 10th–90th $676$5,7540%20%10th90th$813Professionalmedian $646 · 10th–90th $355$1,9500%10%20%10th90th$646$100.0$500.0$2.0K$10.0K$50.0K

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
$2,630.27
Median
$5,011.87
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$741.31
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$831.76
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$977.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$794.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$602.56
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,258.93