go back

Partial Breast Removal (Lumpectomy)

Florida 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?

$7,181

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

Insurers have agreed to pay about $7,181 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $6,457 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$575 to $1,175
Facility feeThe hospital or surgery center$6,457$3,020 to $9,333

How much rates vary

Facilitymedian $6,457 · 10th to 90th $955 to $12,023Professionalmedian $724 · 10th to 90th $525 to $1,479
$1$10$100$1K$10Kfacility $6,457professional $724

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
$6,165.95
Typical High
$10,964.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$933.25
Median
$7,943.28
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,698.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$851.14
Typical High
$1,174.90
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,073.80
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,548.82
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,348.96
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$1,412.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95

Where Florida 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

Florida· 16th of 51

$7,181

$724 physician + $6,457 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.