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Surgical Removal of a Breast Lump

New Jersey 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?

$7,397

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,397 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $6,918 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$479$389 to $708
Facility feeThe hospital or surgery center$6,918$5,623 to $9,120

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,585 to $10,471Professionalmedian $479 · 10th to 90th $355 to $1,148
$500$1K$2K$5K$10Kfacility $6,918professional $479

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
$1,258.93
Median
$6,918.31
Typical High
$10,471.29
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,623.41
Median
$6,025.60
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$1,445.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$630.96
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$1,096.48
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$12,882.50
Typical High
$20,417.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$467.74
Typical High
$977.24

Where New Jersey 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

New Jersey· 7th of 51

$7,397

$479 physician + $6,918 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.