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Surgical Removal Of A Breast Lump Marked By Radiology

Iowa 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?

$4,981

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

Insurers have agreed to pay about $4,981 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $3,981 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$1,000$603 to $2,089
Facility feeThe hospital or surgery center$3,981$1,380 to $6,761

How much rates vary

Facilitymedian $3,981 · 10th to 90th $891 to $9,333Professionalmedian $1,000 · 10th to 90th $447 to $2,818
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,981professional $1,000

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
$891.25
Median
$3,981.07
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$1,621.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$831.76
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,445.44
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$776.25
Typical High
$1,412.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,412.54

Where Iowa 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 feeIowa $4,981 · 25th 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.