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Surgical Removal of a Breast Lump

Oregon 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 $1,047 · 10th–90th $589$13,1830%10%20%10th90th$1,047Professionalmedian $832 · 10th–90th $389$1,7380%10%10th90th$832$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$933.25
Median
$6,760.83
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$691.83
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,380.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,148.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$1,348.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,202.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$933.25
Typical High
$1,348.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,589.25
Typical High
$15,135.61
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$13,803.84
Median
$18,620.87
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,380.38