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Surgical Removal of a Breast Lump

Nevada 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?

$3,095

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

Insurers have agreed to pay about $3,095 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $2,570 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$525$427 to $955
Facility feeThe hospital or surgery center$2,570$2,138 to $5,012

How much rates vary

Facilitymedian $2,570 · 10th to 90th $490 to $6,026Professionalmedian $525 · 10th to 90th $363 to $2,138
$500$1K$2K$5K$10Kfacility $2,570professional $525

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
$398.11
Median
$2,454.71
Typical High
$5,888.44
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$2,137.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$831.76
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$912.01
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$851.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$562.34
Select Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$977.24

Where Nevada 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

Nevada· 43rd of 51

$3,095

$525 physician + $2,570 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.