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Surgical Removal Of A Breast Lump Marked By Radiology

Missouri 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?

$3,991

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

Insurers have agreed to pay about $3,991 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $3,388 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$603$457 to $724
Facility feeThe hospital or surgery center$3,388$1,950 to $5,248

How much rates vary

Facilitymedian $3,388 · 10th to 90th $603 to $7,762Professionalmedian $603 · 10th to 90th $407 to $1,175
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,388professional $603

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
$489.78
Median
$3,162.28
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$660.69
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,019.95
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$977.24

Where Missouri 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 feeMissouri $3,991 · 34th 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.