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Surgical Removal Of A Breast Lump Marked By Radiology

Colorado 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?

$6,755

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

Insurers have agreed to pay about $6,755 for this procedure. That total is two separate charges: $589 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$468 to $871
Facility feeThe hospital or surgery center$6,166$1,862 to $9,550

How much rates vary

Facilitymedian $6,166 · 10th to 90th $661 to $13,183Professionalmedian $589 · 10th to 90th $437 to $1,445
$100.0$500.0$2.0K$10.0Kfacility $6,166professional $589

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
$602.56
Median
$5,495.41
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8.71
Median
$12,302.69
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,096.48
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$2,398.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$912.01
Typical High
$1,348.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,258.93

Where Colorado 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 feeColorado $6,755 · 16th 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.