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Surgical Removal Of A Breast Lump Marked By Radiology

Maine 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?

$10,242

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

Insurers have agreed to pay about $10,242 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $9,550 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$692$468 to $891
Facility feeThe hospital or surgery center$9,550$5,623 to $14,791

How much rates vary

Facilitymedian $9,550 · 10th to 90th $3,090 to $16,218Professionalmedian $692 · 10th to 90th $398 to $1,122
$500.0$2.0K$10.0K$50.0Kfacility $9,550professional $692

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
$3,090.30
Median
$9,549.93
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,288.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,288.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$8,128.31
Typical High
$14,791.08
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,288.25

Where Maine 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 feeMaine $10,242 · 2nd 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.