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Surgical Removal of a Breast Lump

Texas 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 $3,467 · 10th–90th $537$9,3330%10%10th90th$3,467Professionalmedian $501 · 10th–90th $363$9330%20%10th90th$501$10.0$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
$660.69
Median
$3,388.44
Typical High
$9,332.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,630.27
Median
$5,370.32
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$776.25
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,090.30
Typical High
$8,128.31
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$660.69
Christus
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$977.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$45,708.82
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$4,466.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$954.99
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$354.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$891.25
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,467.37
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$758.58