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Surgical Removal Of A Breast Lump Marked By Radiology

South Carolina 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?

$8,519

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $8,519 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $7,943 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$468 to $794
Facility feeThe hospital or surgery center$7,943$1,000 to $15,488

How much rates vary

Facilitymedian $7,943 · 10th to 90th $575 to $16,218Professionalmedian $575 · 10th to 90th $437 to $1,549
$100.0$1.0K$10.0Kfacility $7,943professional $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
$602.56
Median
$9,772.37
Typical High
$20,417.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$1,778.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$776.25
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,128.61
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,949.84
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$10,715.19
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$977.24

Where South Carolina 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 feeSouth Carolina $8,519 · 8th 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.