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Surgical Removal Of A Breast Lump Marked By Radiology

New Jersey 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?

$7,455

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

Insurers have agreed to pay about $7,455 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $6,918 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$537$427 to $832
Facility feeThe hospital or surgery center$6,918$5,495 to $8,913

How much rates vary

Facilitymedian $6,918 · 10th to 90th $813 to $10,715Professionalmedian $537 · 10th to 90th $389 to $1,413
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,918professional $537

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
$794.33
Median
$6,918.31
Typical High
$10,471.29
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$4,168.69
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,079.46
Typical High
$12,589.25
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$1,202.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$12,882.50
Typical High
$19,498.45
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$1,071.52

Where New Jersey 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 Jersey $7,455 · 11th 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.