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Surgical Removal of a Breast Lump

Washington 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 $5,623 · 10th–90th $676$17,3780%5%10%10th90th$5,623Professionalmedian $741 · 10th–90th $380$1,9050%10%10th90th$741$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$8,317.64
Typical High
$18,620.87
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,120.11
Median
$16,982.44
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$2,137.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$11,748.98
Typical High
$20,892.96
Asuris Northwest Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,232.93
Median
$17,782.79
Typical High
$31,622.78
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,445.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,000.00
Typical High
$4,168.69
Kaiser Permanente
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,456.54
Median
$12,589.25
Typical High
$26,915.35
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$323.59
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,023.29
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,318.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$11,481.54
Typical High
$20,892.96
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,715.19
Median
$16,982.44
Typical High
$30,902.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$12,022.64
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$1,380.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$851.14