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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.

How much does Surgical Removal of a Breast Lump cost?

$6,827

Typical total for the visit. In Utah, July 2026.

Insurers have agreed to pay about $6,827 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $6,166 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$490 to $851
Facility feeThe hospital or surgery center$6,166$4,571 to $7,413

How much rates vary

Facilitymedian $6,166 · 10th to 90th $871 to $9,120Professionalmedian $661 · 10th to 90th $398 to $1,148
$500$1K$2K$5K$10Kfacility $6,166professional $661

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
$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

Where Utah 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

Utah· 9th of 51

$6,827

$661 physician + $6,166 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.