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Partial Breast Removal (Lumpectomy)

Washington, DC 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?

$1,445

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,445 for this service. Most negotiated rates run $676 to $3,981.

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.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $933 to $7,762Professionalmedian $676 · 10th to 90th $661 to $1,445
$500$1K$2K$5K$10K$20Kfacility $3,090professional $676

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
$933.25
Median
$3,090.30
Typical High
$6,760.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$1,445.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$3,311.31
Typical High
$19,952.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,862.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,348.96
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,698.24

Where Washington, DC sits

The same service costs 6.8 times more in Wyoming than in Rhode Island. 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.

Washington, DC· 23rd of 51

$1,445

WY $4,467RI $661

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.