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Surgical Removal Of A Breast Lump Marked By Radiology

South Dakota 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 Dakota, July 2026.

Insurers have agreed to pay about $8,519 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $7,586 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$933$490 to $1,175
Facility feeThe hospital or surgery center$7,586$4,365 to $8,511

How much rates vary

Facilitymedian $7,586 · 10th to 90th $912 to $8,511Professionalmedian $933 · 10th to 90th $427 to $1,862
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $7,586professional $933

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
$3,548.13
Median
$7,585.78
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$912.01
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,047.13
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,122.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$954.99
Typical High
$1,445.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,445.44

Where South Dakota 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 Dakota $8,519 · 7th 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.