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Partial Breast Removal (Lumpectomy)

Connecticut 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?

$8,905

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

Insurers have agreed to pay about $8,905 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $8,128 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$776$617 to $1,148
Facility feeThe hospital or surgery center$8,128$4,898 to $9,772

How much rates vary

Facilitymedian $8,128 · 10th to 90th $4,467 to $15,849Professionalmedian $776 · 10th to 90th $575 to $1,820
$500$1K$2K$5K$10K$20Kfacility $8,128professional $776

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
$4,168.69
Median
$7,943.28
Typical High
$15,848.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,047.13
Typical High
$1,905.46
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,258.93
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$10,000.00
Health New England
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,380.38
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$870.96
Typical High
$1,412.54

Where Connecticut 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

Connecticut· 5th of 51

$8,905

$776 physician + $8,128 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.