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Surgical Removal Of A Breast Lump Marked By Radiology

Idaho 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?

$3,977

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

Insurers have agreed to pay about $3,977 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $3,236 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$741$562 to $933
Facility feeThe hospital or surgery center$3,236$871 to $8,710

How much rates vary

Facilitymedian $3,236 · 10th to 90th $692 to $9,772Professionalmedian $741 · 10th to 90th $457 to $1,778
$50.0$200.0$1.0K$5.0Kfacility $3,236professional $741

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
$831.76
Median
$5,495.41
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,801.89
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,570.40
Median
$5,248.07
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,511.38
Typical High
$12,589.25
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,120.11
Median
$13,182.57
Typical High
$18,620.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$933.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,311.31
Typical High
$6,025.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$977.24

Where Idaho 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 feeIdaho $3,977 · 35th 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.