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Surgical Removal Of A Breast Lump Marked By Radiology

Rhode Island 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?

$490

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $407 to $692.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,754 to $9,772Professionalmedian $468 · 10th to 90th $339 to $891
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,677professional $468

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,495.41
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$1,023.29

Where Rhode Island sits

The same service costs 5.0 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $490 · 51st of 51
HI $2,455RI $490

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.