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Partial Breast Removal (Lumpectomy)

Iowa 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?

$5,830

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

Insurers have agreed to pay about $5,830 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $4,571 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$1,259$708 to $2,455
Facility feeThe hospital or surgery center$4,571$3,388 to $6,761

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,122 to $9,772Professionalmedian $1,259 · 10th to 90th $550 to $2,818
$100$200$500$1K$2K$5K$10Kfacility $4,571professional $1,259

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
$1,122.02
Median
$4,073.80
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,122.02
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$1,819.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,884.03
Typical High
$9,772.37
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,258.93
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,041.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,380.38

Where Iowa 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

Iowa· 27th of 51

$5,830

$1,259 physician + $4,571 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.