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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.

How much does Surgical Removal of a Breast Lump cost?

$5,299

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

Insurers have agreed to pay about $5,299 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $4,467 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$437 to $1,072
Facility feeThe hospital or surgery center$4,467$1,202 to $4,467

How much rates vary

Facilitymedian $4,467 · 10th to 90th $575 to $5,754Professionalmedian $832 · 10th to 90th $372 to $1,288
$500$1K$2K$5Kfacility $4,467professional $832

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
$2,630.27
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

Where South Dakota 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 Dakota· 20th of 51

$5,299

$832 physician + $4,467 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.