go back

Surgical Removal of a Breast Lump

Utah 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 $3,162$9,1200%10%10th90th$6,166Professionalmedian $661 · 10th–90th $398$1,1480%10%10th90th$661$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
$489.78
Median
$6,165.95
Typical High
$8,912.51
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$11,481.54
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,128.31
Median
$11,220.18
Typical High
$16,982.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$870.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,023.29
Typical High
$1,174.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$912.01