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Surgical Removal Of A Breast Lump Marked By Radiology

Oklahoma 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?

$4,206

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

Insurers have agreed to pay about $4,206 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $3,631 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$575$501 to $741
Facility feeThe hospital or surgery center$3,631$1,380 to $5,370

How much rates vary

Facilitymedian $3,631 · 10th to 90th $661 to $7,586Professionalmedian $575 · 10th to 90th $468 to $851
$200.0$1.0K$5.0K$20.0Kfacility $3,631professional $575

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
$575.44
Median
$1,737.80
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,365.16
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$602.56
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,019.95
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$794.33

Where Oklahoma 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 feeOklahoma $4,206 · 31st 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.