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Surgical Removal Of A Breast Lump Marked By Radiology

New Mexico 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 October 2026.

How much does Surgical Removal Of A Breast Lump Marked By Radiology cost?

$2,735

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $2,735 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $2,089 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$646$490 to $794
Facility feeThe hospital or surgery center$2,089$1,096 to $3,981

How much rates vary

Facilitymedian $2,089 · 10th to 90th $603 to $9,772Professionalmedian $646 · 10th to 90th $347 to $977
$50$200$1K$5Kfacility $2,089professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$1,000.00
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$562.34
Typical High
$1,047.13
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$2,398.83
Typical High
$12,022.64
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$575.44
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,862.09
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$691.83
Typical High
$977.24
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$165.96
Typical High
$831.76
Providence
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$1,862.09
Typical High
$2,691.53
Providence
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$691.83
Typical High
$977.24
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$707.95
Typical High
$1,122.02

Where New Mexico sits

The same service costs 4.7 times more in Vermont than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

New Mexico· 30th of 51

$2,735

$646 physician + $2,089 facility

VT $7,643MT $1,633

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.