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Surgical Removal Of A Breast Lump Marked By Radiology

Georgia 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?

$5,011

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

Insurers have agreed to pay about $5,011 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $4,365 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$646$490 to $912
Facility feeThe hospital or surgery center$4,365$2,089 to $6,026

How much rates vary

Facilitymedian $4,365 · 10th to 90th $832 to $7,413Professionalmedian $646 · 10th to 90th $417 to $1,202
$100.0$1.0K$10.0Kfacility $4,365professional $646

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
$562.34
Median
$4,897.79
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$1,202.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,162.28
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,244.36
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$1,096.48
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,096.48

Where Georgia 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 feeGeorgia $5,011 · 24th 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.