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Partial Breast Removal (Lumpectomy)

Georgia 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?

$5,243

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

Insurers have agreed to pay about $5,243 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $4,467 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$776$631 to $1,288
Facility feeThe hospital or surgery center$4,467$2,291 to $6,026

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,047 to $8,710Professionalmedian $776 · 10th to 90th $513 to $1,413
$500$1K$2K$5K$10K$20Kfacility $4,467professional $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
$1,000.00
Median
$5,128.61
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,089.30
Median
$4,365.16
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,412.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,162.28
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$812.83
Typical High
$1,122.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,000.00
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,479.11

Where Georgia 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

Georgia· 32nd of 51

$5,243

$776 physician + $4,467 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.