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Setting Up Radiation In The Cavity After Lump Removal

West Virginia rates for HCPCS 19294

Prepares the space left behind after a breast lump is taken out and positions a device that delivers a dose of radiation straight into that cavity during the same operation. Treating the cavity while it is still open puts the dose exactly where the growth sat and limits exposure to surrounding tissue. It is billed in addition to the breast surgery itself.

Rates data updated October 2026.

How much does Setting Up Radiation In The Cavity After Lump Removal cost?

$386

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

Insurers have agreed to pay about $386 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $162 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$224$162 to $324
Facility feeThe hospital or surgery center$162$100 to $457

How much rates vary

Facilitymedian $162 · 10th to 90th $100 to $1,230Professionalmedian $224 · 10th to 90th $138 to $479
$50$100$200$500$1Kfacility $162professional $224

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
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$162.18
Typical High
$162.18
CareSource
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$257.04
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$131.83
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$213.80
Typical High
$446.68

Where West Virginia sits

The same service costs 33.1 times more in Alabama than in Florida. 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

West Virginia· 48th of 51

$386

$224 physician + $162 facility

AL $10,162FL $307

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.