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Surgical Removal Of A Breast Lump Marked By Radiology

Vermont 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 October 2026.

How much does Surgical Removal Of A Breast Lump Marked By Radiology cost?

$7,643

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $7,643 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $6,918 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$562 to $912
Facility feeThe hospital or surgery center$6,918$3,162 to $6,918

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,698 to $6,918Professionalmedian $724 · 10th to 90th $479 to $1,096
$200$500$1K$2K$5Kfacility $6,918professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$524.81
Typical High
$562.34
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$794.33
Typical High
$1,023.29
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$724.44
Typical High
$1,348.96

Where Vermont sits

The same service costs 4.7 times more in Vermont than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Vermont· 1st of 51

$7,643

$724 physician + $6,918 facility

VT $7,643MT $1,633

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.