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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.

How much does Surgical Removal of a Breast Lump cost?

$468

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $372 to $676.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,754 to $8,128Professionalmedian $417 · 10th to 90th $302 to $813
$500$1K$2K$5K$10Kfacility $3,890professional $417

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
$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

Where Rhode Island sits

The same service costs 5.2 times more in Hawaii than in Delaware. 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.

Rhode Island· 50th of 51

$468

HI $2,344DE $447

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.