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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.

How much does Surgical Removal of a Breast Lump cost?

$1,879

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

Insurers have agreed to pay about $1,879 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $1,047 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$513 to $1,202
Facility feeThe hospital or surgery center$1,047$871 to $7,079

How much rates vary

Facilitymedian $1,047 · 10th to 90th $589 to $13,183Professionalmedian $832 · 10th to 90th $389 to $1,738
$100$200$500$1K$2K$5K$10Kfacility $1,047professional $832

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
$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

Where Oregon 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

Oregon· 49th of 51

$1,879

$832 physician + $1,047 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.