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Surgical Removal Of A Breast Lump Marked By Radiology

Nationwide rates for HCPCS 19125

A breast lump or abnormal area that isn't easily felt by hand is first marked by radiology, using a thin wire or small clip placed under imaging guidance, and then surgically removed through an open incision, guided by that marker. This version covers removal of a single marked area.

Rates data updated July 2026.

Facilitymedian $5,012 · 10th–90th $661$12,3030%10%20%10th90th$5,012Professionalmedian $617 · 10th–90th $407$1,6220%20%40%10th90th$617$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$616.60
Median
$4,786.30
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,238.72
Median
$6,025.60
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$7,079.46
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,995.26
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,265.80
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$1,230.27