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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 July 2026.

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

$3,897

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

Insurers have agreed to pay about $3,897 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $3,236 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$661$447 to $977
Facility feeThe hospital or surgery center$3,236$832 to $8,710

How much rates vary

Facilitymedian $3,236 · 10th to 90th $562 to $10,965Professionalmedian $661 · 10th to 90th $363 to $2,344
$50.0$200.0$1.0K$5.0Kfacility $3,236professional $661

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
$562.34
Median
$1,148.15
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$2,454.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$8,912.51
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$691.83
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,288.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,122.02

Where New Mexico 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 Mexico $3,897 · 36th 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.