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Surgical Removal Of A Breast Lump Marked By Radiology

Michigan 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?

$6,575

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

Insurers have agreed to pay about $6,575 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $6,026 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$550$457 to $724
Facility feeThe hospital or surgery center$6,026$3,890 to $8,318

How much rates vary

Facilitymedian $6,026 · 10th to 90th $676 to $9,772Professionalmedian $550 · 10th to 90th $389 to $1,023
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,026professional $550

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
$676.08
Median
$6,165.95
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$691.83
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$1,047.13
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$912.01
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$891.25

Where Michigan 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 feeMichigan $6,575 · 18th 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.