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Surgical Removal of a Breast Lump

Vermont 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 $1,413 · 10th–90th $1,380$4,8980%20%40%10th90th$1,413Professionalmedian $525 · 10th–90th $427$6310%20%40%10th90th$525$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$676.08
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,288.25