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Surgical Removal of a Breast Lump

South Dakota 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 $4,467 · 10th–90th $575$5,7540%20%10th90th$4,467Professionalmedian $832 · 10th–90th $372$1,2880%10%10th90th$832$500.0$1.0K$2.0K$5.0K

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
$2,630.27
Median
$4,466.84
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$1,230.27
Avera
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$831.76
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,258.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$870.96
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,318.26