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Partial Breast Removal (Lumpectomy)

Delaware 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?

$5,865

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

Insurers have agreed to pay about $5,865 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $5,248 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$575 to $676
Facility feeThe hospital or surgery center$5,248$2,884 to $9,550

How much rates vary

Facilitymedian $5,248 · 10th to 90th $575 to $9,772Professionalmedian $617 · 10th to 90th $575 to $1,230
$50$200$1K$5Kfacility $5,248professional $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
$575.44
Median
$5,248.07
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,174.90
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$10,000.00
Typical High
$18,620.87
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,709.64
Median
$16,595.87
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,096.48

Where Delaware 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

Delaware· 26th of 51

$5,865

$617 physician + $5,248 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.