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Surgical Removal of a Breast Lump

West 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?

$6,703

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

Insurers have agreed to pay about $6,703 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $6,166 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$417 to $891
Facility feeThe hospital or surgery center$6,166$3,162 to $8,128

How much rates vary

Facilitymedian $6,166 · 10th to 90th $537 to $13,490Professionalmedian $537 · 10th to 90th $355 to $912
$500$1K$2K$5K$10Kfacility $6,166professional $537

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
$6,165.95
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$549.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$2,754.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$12,882.50
Typical High
$20,892.96
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$36,307.81
Median
$36,307.81
Typical High
$36,307.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$724.44

Where West 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

West Virginia· 12th of 51

$6,703

$537 physician + $6,166 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.