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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.

Facilitymedian $6,166 · 10th–90th $513$13,1830%10%10th90th$6,166Professionalmedian $550 · 10th–90th $398$1,9950%10%10th90th$550$50.0$200.0$1.0K$5.0K$20.0K

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
$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