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Surgical Removal Of A Breast Lump Marked By Radiology

Connecticut 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?

$8,635

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

Insurers have agreed to pay about $8,635 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $7,943 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$692$479 to $1,023
Facility feeThe hospital or surgery center$7,943$5,248 to $9,772

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,981 to $16,596Professionalmedian $692 · 10th to 90th $407 to $1,413
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,943professional $692

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
$3,981.07
Median
$7,943.28
Typical High
$17,378.01
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,019.95
Median
$17,782.79
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$912.01
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,513.56
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,288.25
Health New England
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$6,456.54
Typical High
$6,456.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$660.69
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$1,202.26

Where Connecticut 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 feeConnecticut $8,635 · 6th 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.