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Surgical Removal Of A Breast Lump Marked By Radiology

North Dakota 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?

$7,369

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $7,369 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $6,457 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$468 to $1,122
Facility feeThe hospital or surgery center$6,457$550 to $7,586

How much rates vary

Facilitymedian $6,457 · 10th to 90th $447 to $8,511Professionalmedian $912 · 10th to 90th $407 to $1,318
$500.0$1.0K$2.0K$5.0Kfacility $6,457professional $912

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
$446.68
Median
$6,456.54
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$954.99
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$851.14
Typical High
$1,258.93

Where North Dakota 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 feeNorth Dakota $7,369 · 12th 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.