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Surgical Removal Of A Breast Lump Marked By Radiology

Delaware 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?

$10,274

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

Insurers have agreed to pay about $10,274 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $9,772 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$407 to $912
Facility feeThe hospital or surgery center$9,772$8,318 to $11,482

How much rates vary

Facilitymedian $9,772 · 10th to 90th $3,548 to $14,791Professionalmedian $501 · 10th to 90th $398 to $1,202
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $9,772professional $501

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
$3,548.13
Median
$9,772.37
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$851.14
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$8,709.64
Typical High
$16,218.10
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$912.01

Where Delaware 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 feeDelaware $10,274 · 1st 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.