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Surgical Removal Of A Breast Lump Marked By Radiology

Illinois 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?

$4,346

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

Insurers have agreed to pay about $4,346 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $3,715 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$631$468 to $871
Facility feeThe hospital or surgery center$3,715$1,230 to $8,710

How much rates vary

Facilitymedian $3,715 · 10th to 90th $550 to $10,233Professionalmedian $631 · 10th to 90th $389 to $1,122
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,715professional $631

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
$549.54
Median
$3,715.35
Typical High
$10,964.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,479.11
Median
$5,495.41
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,623.41
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$707.95
Typical High
$1,071.52
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$870.96
Typical High
$2,089.30
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,148.15

Where Illinois 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 feeIllinois $4,346 · 28th 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.