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Removal Of An Additional Marked Breast Lesion

Washington rates for HCPCS 19126

Removes a further abnormal area of the breast that a radiologist marked beforehand with a wire, seed, or clip so the surgeon can find it. The marked tissue is taken out through an incision and sent to the laboratory for examination. It is billed in addition to the main procedure when more than one marked area is removed at the same operation.

Rates data updated July 2026.

How much does Removal Of An Additional Marked Breast Lesion cost?

$407

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $302 to $7,413.

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.

How much rates vary

Facilitymedian $407 · 10th to 90th $200 to $14,125
$200$500$1K$2K$5K$10K$20Kfacility $407

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
$208.93
Median
$6,025.60
Typical High
$17,782.79
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$407.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$316.23
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$218.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$660.69
Typical High
$5,754.40

Where Washington sits

The same service costs 43.7 times more in South Carolina than in North Dakota. 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.

Washington· 42nd of 50

$407

SC $6,761ND $155

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.