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Surgical Removal Of A Breast Lump Marked By Radiology

Indiana 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?

$8,665

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

Insurers have agreed to pay about $8,665 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $8,128 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$447 to $692
Facility feeThe hospital or surgery center$8,128$1,995 to $13,490

How much rates vary

Facilitymedian $8,128 · 10th to 90th $575 to $17,378Professionalmedian $537 · 10th to 90th $380 to $1,000
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $8,128professional $537

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
$537.03
Median
$3,981.07
Typical High
$13,489.63
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$1,000.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$891.25

Where Indiana 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 feeIndiana $8,665 · 5th 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.