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Partial Breast Removal (Lumpectomy)

Colorado 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?

$6,237

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

Insurers have agreed to pay about $6,237 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $5,495 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$661 to $1,349
Facility feeThe hospital or surgery center$5,495$3,090 to $8,511

How much rates vary

Facilitymedian $5,495 · 10th to 90th $933 to $13,183Professionalmedian $741 · 10th to 90th $575 to $2,188
$500$1K$2K$5K$10K$20Kfacility $5,495professional $741

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
$891.25
Median
$3,981.07
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$524.81
Median
$3,235.94
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$2,290.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,772.37
Typical High
$19,054.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$977.24
Typical High
$1,318.26
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$2,398.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$1,621.81

Where Colorado 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

Colorado· 19th of 51

$6,237

$741 physician + $5,495 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.