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Surgical Removal of a Breast Lump

Virginia 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?

$4,543

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

Insurers have agreed to pay about $4,543 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $3,981 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$562$468 to $708
Facility feeThe hospital or surgery center$3,981$631 to $7,079

How much rates vary

Facilitymedian $3,981 · 10th to 90th $468 to $12,303Professionalmedian $562 · 10th to 90th $427 to $933
$500$1K$2K$5K$10K$20Kfacility $3,981professional $562

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
$537.03
Median
$4,677.35
Typical High
$13,489.63
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,089.30
Median
$4,365.16
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$912.01
Sentara
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$933.25

Where Virginia 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

Virginia· 25th of 51

$4,543

$562 physician + $3,981 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.