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Surgical Removal Of A Breast Lump Marked By Radiology

Utah 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?

$6,767

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

Insurers have agreed to pay about $6,767 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $6,026 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$741$550 to $1,230
Facility feeThe hospital or surgery center$6,026$4,169 to $7,586

How much rates vary

Facilitymedian $6,026 · 10th to 90th $550 to $8,128Professionalmedian $741 · 10th to 90th $437 to $1,413
$50.0$200.0$1.0K$5.0Kfacility $6,026professional $741

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
$549.54
Median
$6,025.60
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$11,481.54
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,128.31
Median
$11,220.18
Typical High
$16,982.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$977.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,174.90
Typical High
$1,348.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,023.29

Where Utah 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 feeUtah $6,767 · 15th 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.