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Partial Breast Removal (Lumpectomy)

Alabama rates for HCPCS 19301

A portion of breast tissue containing a lump or abnormal area is surgically removed, while the rest of the breast is preserved, rather than removing the entire breast. It is a common treatment approach for an early-stage breast cancer or certain other breast abnormalities.

Rates data updated July 2026.

How much does Partial Breast Removal (Lumpectomy) cost?

$3,853

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $3,853 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $3,236 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$617$562 to $708
Facility feeThe hospital or surgery center$3,236$1,096 to $5,248

How much rates vary

Facilitymedian $3,236 · 10th to 90th $617 to $6,607Professionalmedian $617 · 10th to 90th $513 to $955
$500$1K$2K$5K$10Kfacility $3,236professional $617

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
$616.60
Median
$1,778.28
Typical High
$6,606.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$7,079.46
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,606.93
Median
$7,943.28
Typical High
$10,715.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$707.95
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,071.52

Where Alabama sits

The same service costs 4.9 times more in Wyoming 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

Alabama· 45th of 51

$3,853

$617 physician + $3,236 facility

WY $10,633MT $2,180

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.