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?
$525
Typical physician fee. In Vermont, July 2026.
Insurers have agreed to pay about $525 for this service. Most negotiated rates run $468 to $537.
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.
How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,380 to $4,898Professionalmedian $525 · 10th to 90th $427 to $631
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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$562.34
Professional
Global
$426.58
$512.86
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$4,897.79
Facility
Global
$1,380.38
$1,412.54
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,862.09
Professional
Global
$562.34
$562.34
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$676.08
Typical High
$1,000.00
Professional
Global
$144.54
$676.08
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,288.25
Professional
Global
$478.63
$645.65
$1,288.25
Where Vermont sits
The same service costs 5.2 times more in Hawaii than in Delaware. 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.