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Surgical Removal of a Breast Lump

South Carolina 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?

$6,715

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $6,715 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $6,166 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$550$457 to $891
Facility feeThe hospital or surgery center$6,166$724 to $9,550

How much rates vary

Facilitymedian $6,166 · 10th to 90th $513 to $13,183Professionalmedian $550 · 10th to 90th $398 to $1,995
$500$1K$2K$5K$10K$20Kfacility $6,166professional $550

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
$549.54
Median
$7,413.10
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$2,344.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,370.32
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,949.84
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$10,715.19
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$891.25

Where South Carolina 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

South Carolina· 11th of 51

$6,715

$550 physician + $6,166 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.