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Surgical Removal of a Breast Lump

Rhode Island 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 $3,890 · 10th–90th $2,754$8,1280%10%20%10th90th$3,890Professionalmedian $417 · 10th–90th $302$8130%10%20%10th90th$417$500.0$1.0K$2.0K$5.0K$10.0K

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
$2,884.03
Median
$3,715.35
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$912.01