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Surgical Removal Of A Breast Lump Marked By Radiology

Nebraska 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?

$7,333

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

Insurers have agreed to pay about $7,333 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $6,310 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$1,023$692 to $1,349
Facility feeThe hospital or surgery center$6,310$3,090 to $9,333

How much rates vary

Facilitymedian $6,310 · 10th to 90th $912 to $12,589Professionalmedian $1,023 · 10th to 90th $447 to $2,344
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,310professional $1,023

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
$912.01
Median
$7,943.28
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,096.48
Typical High
$2,454.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$758.58
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$912.01
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$4,897.79
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$1,318.26

Where Nebraska 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 feeNebraska $7,333 · 13th 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.