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Surgical Removal Of A Breast Lump Marked By Radiology

Florida 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?

$8,325

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

Insurers have agreed to pay about $8,325 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $7,762 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$447 to $851
Facility feeThe hospital or surgery center$7,762$3,162 to $10,000

How much rates vary

Facilitymedian $7,762 · 10th to 90th $912 to $13,804Professionalmedian $562 · 10th to 90th $398 to $1,122
$100.0$1.0K$10.0Kfacility $7,762professional $562

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
$851.14
Median
$7,585.78
Typical High
$12,022.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,238.72
Median
$5,011.87
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$1,148.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$831.76
AvMed
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$4,073.80
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$13,182.57
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,071.52
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$104.71
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,495.41
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,096.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$676.08

Where Florida 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 feeFlorida $8,325 · 9th 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.