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Surgical Removal Of A Breast Lump Marked By Radiology

Montana 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?

$1,572

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

Insurers have agreed to pay about $1,572 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $955 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$617$447 to $955
Facility feeThe hospital or surgery center$955$813 to $1,122

How much rates vary

Facilitymedian $955 · 10th to 90th $759 to $10,471Professionalmedian $617 · 10th to 90th $389 to $2,188
$100.0$1.0K$10.0K$100.0Kfacility $955professional $617

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
$2,754.23
Median
$9,772.37
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$2,344.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$912.01
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,071.52
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$676.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,380.38

Where Montana 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 feeMontana $1,572 · 50th 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.