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Surgical Removal Of A Breast Lump Marked By Radiology

Massachusetts 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?

$3,643

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

Insurers have agreed to pay about $3,643 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $2,884 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$479 to $1,202
Facility feeThe hospital or surgery center$2,884$776 to $4,365

How much rates vary

Facilitymedian $2,884 · 10th to 90th $550 to $7,079Professionalmedian $759 · 10th to 90th $407 to $1,660
$100.0$1.0K$10.0Kfacility $2,884professional $759

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
$407.38
Median
$3,467.37
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$1,698.24
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,370.32
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$954.99
Typical High
$1,659.59
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$3,890.45
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,096.48
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$891.25
Typical High
$1,659.59
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,466.84
Typical High
$8,128.31
Health New England
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,000.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,370.32
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$912.01
Typical High
$1,737.80

Where Massachusetts 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 feeMassachusetts $3,643 · 41st 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.