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Surgical Removal Of A Breast Lump Marked By Radiology

West 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?

$6,715

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

Insurers have agreed to pay about $6,715 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $6,166 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 5 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 $1,000
Facility feeThe hospital or surgery center$6,166$4,365 to $9,333

How much rates vary

Facilitymedian $6,166 · 10th to 90th $603 to $12,303Professionalmedian $550 · 10th to 90th $437 to $1,023
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,166professional $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
$602.56
Median
$6,165.95
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$3,090.30
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$14,791.08
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$794.33

Where West 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 feeWest Virginia $6,715 · 17th 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.