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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 July 2026.

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

$562

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $479 to $617.

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.

How much rates vary

Professionalmedian $562 · 10th to 90th $479 to $741
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kprofessional $562

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
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$741.31
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,412.54

Where Vermont sits

The same service costs 5.0 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $562 · 48th of 51
HI $2,455RI $490

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.