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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 July 2026.

How much does Surgical Removal of a Breast Lump cost?

$3,308

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

Insurers have agreed to pay about $3,308 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $2,692 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$617$398 to $891
Facility feeThe hospital or surgery center$2,692$759 to $8,710

How much rates vary

Facilitymedian $2,692 · 10th to 90th $501 to $10,965Professionalmedian $617 · 10th to 90th $331 to $1,995
$50$200$1K$5Kfacility $2,692professional $617

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
$501.19
Median
$1,023.29
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$8,912.51
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$1,174.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,023.29

Where New Mexico 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 Mexico· 40th of 51

$3,308

$617 physician + $2,692 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.