go back

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 October 2026.

How much does Surgical Removal of a Breast Lump cost?

$9,370

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $9,370 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $8,710 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$513 to $832
Facility feeThe hospital or surgery center$8,710$1,698 to $8,710

How much rates vary

Facilitymedian $8,710 · 10th to 90th $1,380 to $8,710Professionalmedian $661 · 10th to 90th $427 to $1,000
$200$500$1K$2K$5Kfacility $8,710professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$467.74
Typical High
$524.81
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,162.28
Typical High
$4,897.79
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$588.84
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$707.95
Typical High
$912.01
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$660.69
Typical High
$1,202.26

Where Vermont sits

The same service costs 7.2 times more in Vermont than in Maine. 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

Vermont· 1st of 51

$9,370

$661 physician + $8,710 facility

VT $9,370ME $1,294

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.