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Surgical Removal Of A Breast Lump Marked By Radiology

Kansas 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?

$3,751

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

Insurers have agreed to pay about $3,751 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $3,162 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$589$479 to $741
Facility feeThe hospital or surgery center$3,162$1,318 to $5,623

How much rates vary

Facilitymedian $3,162 · 10th to 90th $603 to $7,943Professionalmedian $589 · 10th to 90th $407 to $776
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,162professional $589

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
$602.56
Median
$3,162.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,570.88
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,884.03
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$954.99

Where Kansas 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 feeKansas $3,751 · 39th 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.