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Surgical Removal Of A Breast Lump Marked By Radiology

New Hampshire 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?

$4,299

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,299 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $3,467 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$832$631 to $1,148
Facility feeThe hospital or surgery center$3,467$832 to $6,026

How much rates vary

Facilitymedian $3,467 · 10th to 90th $398 to $9,772Professionalmedian $832 · 10th to 90th $457 to $1,445
$100.0$500.0$2.0K$10.0Kfacility $3,467professional $832

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
$398.11
Median
$1,778.28
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$724.44
Typical High
$1,380.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$977.24
Typical High
$1,621.81
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$912.01
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$912.01
Typical High
$1,819.70
Well Sense
Setting
Facility
Modifier
50 · Both sides
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where New Hampshire 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 feeNew Hampshire $4,299 · 29th 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.