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Surgical Removal of a Breast Lump

Wyoming 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?

$5,249

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

Insurers have agreed to pay about $5,249 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $4,074 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$1,175$977 to $1,259
Facility feeThe hospital or surgery center$4,074$3,467 to $4,074

How much rates vary

Facilitymedian $4,074 · 10th to 90th $2,344 to $5,754Professionalmedian $1,175 · 10th to 90th $646 to $1,318
$500$1K$2K$5K$10Kfacility $4,074professional $1,175

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
$426.58
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$512.86
Typical High
$524.81
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,318.26
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$977.24
Median
$1,584.89
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$3,801.89
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$707.95
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$891.25
Typical High
$1,584.89

Where Wyoming 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

Wyoming· 5th of 51

$5,249

$1,175 physician + $4,074 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.