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Surgical Removal Of A Breast Lump Marked By Radiology

Tennessee 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?

$3,343

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

Insurers have agreed to pay about $3,343 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $2,754 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$589$479 to $741
Facility feeThe hospital or surgery center$2,754$1,230 to $4,266

How much rates vary

Facilitymedian $2,754 · 10th to 90th $490 to $6,457Professionalmedian $589 · 10th to 90th $437 to $1,230
$200.0$1.0K$5.0K$20.0Kfacility $2,754professional $589

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
$457.09
Median
$2,398.83
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,073.80
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,047.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,122.02

Where Tennessee 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 feeTennessee $3,343 · 44th 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.