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Surgical Removal of a Breast Lump

New Mexico 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 October 2026.

How much does Surgical Removal of a Breast Lump cost?

$2,631

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $2,631 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $2,042 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$589$447 to $741
Facility feeThe hospital or surgery center$2,042$1,000 to $3,715

How much rates vary

Facilitymedian $2,042 · 10th to 90th $603 to $9,550Professionalmedian $589 · 10th to 90th $316 to $891
$50$200$1K$5Kfacility $2,042professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$676.08
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$501.19
Typical High
$758.58
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$2,398.83
Typical High
$12,022.64
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$575.44
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,862.09
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$616.60
Typical High
$891.25
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$446.68
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,862.09
Typical High
$2,691.53
Providence
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$616.60
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$1,023.29

Where New Mexico sits

The same service costs 7.2 times more in Vermont than in Maine. 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 Mexico· 27th of 51

$2,631

$589 physician + $2,042 facility

VT $9,370ME $1,294

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.