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Surgical Removal Of A Breast Lump Marked By Radiology

Oregon 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?

$2,077

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

Insurers have agreed to pay about $2,077 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $1,122 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$617 to $1,288
Facility feeThe hospital or surgery center$1,122$933 to $8,128

How much rates vary

Facilitymedian $1,122 · 10th to 90th $661 to $13,490Professionalmedian $955 · 10th to 90th $437 to $1,778
$100$500$2K$10Kfacility $1,122professional $955

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
$1,023.29
Median
$7,943.28
Typical High
$14,454.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$794.33
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,513.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,288.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,513.56
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$1,479.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,589.25
Typical High
$15,135.61
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$13,803.84
Median
$18,620.87
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,513.56

Where Oregon sits

The same service costs 6.5 times more in Delaware 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

Oregon· 49th of 50

$2,077

$955 physician + $1,122 facility

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.