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Partial Breast Removal (Lumpectomy)

Arizona 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?

$4,307

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

Insurers have agreed to pay about $4,307 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $3,548 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$589 to $1,995
Facility feeThe hospital or surgery center$3,548$2,344 to $6,026

How much rates vary

Facilitymedian $3,548 · 10th to 90th $912 to $7,413Professionalmedian $759 · 10th to 90th $525 to $2,818
$500$1K$2K$5K$10Kfacility $3,548professional $759

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
$977.24
Median
$3,890.45
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,819.70
Median
$2,818.38
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$2,818.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,754.23
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$165.96
Median
$831.76
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,230.27

Where Arizona 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

Arizona· 38th of 51

$4,307

$759 physician + $3,548 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.