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Surgical Removal Of A Breast Lump Marked By Radiology

Virginia 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?

$4,247

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

Insurers have agreed to pay about $4,247 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $3,631 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$617$513 to $794
Facility feeThe hospital or surgery center$3,631$692 to $6,607

How much rates vary

Facilitymedian $3,631 · 10th to 90th $537 to $9,550Professionalmedian $617 · 10th to 90th $457 to $1,072
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,631professional $617

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
$588.84
Median
$4,168.69
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$977.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$741.31
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,318.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$1,000.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$1,023.29

Where Virginia 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 feeVirginia $4,247 · 30th 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.