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Surgical Removal Of A Breast Lump Marked By Radiology

Washington, DC 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?

$617

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $513 to $1,549.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $589 to $6,457Professionalmedian $575 · 10th to 90th $468 to $794
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,090professional $575

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
$588.84
Median
$2,454.71
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$741.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$3,235.94
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$794.33
Typical High
$1,348.96

Where Washington, DC sits

The same service costs 5.0 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $617 · 46th of 51
HI $2,455RI $490

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.