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Surgical Removal Of A Breast Lump Marked By Radiology

Arkansas 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.

How much does Surgical Removal Of A Breast Lump Marked By Radiology cost?

$2,211

Typical total for the visit. In Arkansas, July 2026.

Insurers have agreed to pay about $2,211 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $1,698 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$490 to $617
Facility feeThe hospital or surgery center$1,698$1,148 to $3,467

How much rates vary

Facilitymedian $1,698 · 10th to 90th $589 to $4,786Professionalmedian $513 · 10th to 90th $417 to $813
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,698professional $513

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
$524.81
Median
$1,479.11
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$954.99
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$954.99

Where Arkansas sits

The same service costs 6.5 times more in Delaware than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeArkansas $2,211 · 48th of 50
DE $10,274MT $1,572

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.