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Surgical Removal Of A Breast Lump Marked By Radiology

Texas 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?

$4,017

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

Insurers have agreed to pay about $4,017 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $3,467 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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$447 to $724
Facility feeThe hospital or surgery center$3,467$1,445 to $5,370

How much rates vary

Facilitymedian $3,467 · 10th to 90th $631 to $9,120Professionalmedian $550 · 10th to 90th $407 to $955
$100.0$1.0K$10.0Kfacility $3,467professional $550

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
$776.25
Median
$3,467.37
Typical High
$8,912.51
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$912.01
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$851.14
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,467.37
Typical High
$8,128.31
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$776.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,096.48
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$45,708.82
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,000.00
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,467.37
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$870.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$851.14

Where Texas 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 feeTexas $4,017 · 33rd 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.