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Surgical Removal Of A Breast Lump Marked By Radiology

Arizona 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?

$3,861

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

Insurers have agreed to pay about $3,861 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $3,311 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$550$447 to $977
Facility feeThe hospital or surgery center$3,311$2,089 to $5,248

How much rates vary

Facilitymedian $3,311 · 10th to 90th $741 to $7,413Professionalmedian $550 · 10th to 90th $407 to $2,188
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,311professional $550

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
$1,122.02
Median
$3,890.45
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$2,344.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,818.38
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$977.24

Where Arizona 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 feeArizona $3,861 · 37th 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.