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Partial Breast Removal (Lumpectomy)

Idaho 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?

$7,761

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

Insurers have agreed to pay about $7,761 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $6,761 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$1,000$741 to $1,380
Facility feeThe hospital or surgery center$6,761$3,162 to $7,943

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,072 to $11,220Professionalmedian $1,000 · 10th to 90th $550 to $2,512
$100$200$500$1K$2K$5K$10Kfacility $6,761professional $1,000

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
$1,174.90
Median
$6,918.31
Typical High
$11,220.18
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$2,691.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,466.84
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,467.37
Median
$6,456.54
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,230.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,412.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,511.38
Typical High
$12,589.25
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,120.11
Median
$13,182.57
Typical High
$18,620.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,230.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$5,128.61
Typical High
$8,912.51
Select Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,202.26

Where Idaho 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

Idaho· 11th of 51

$7,761

$1,000 physician + $6,761 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.