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Partial Breast Removal (Lumpectomy)

Illinois 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?

$4,906

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

Insurers have agreed to pay about $4,906 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $4,074 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$617 to $1,349
Facility feeThe hospital or surgery center$4,074$1,549 to $8,128

How much rates vary

Facilitymedian $4,074 · 10th to 90th $676 to $13,804Professionalmedian $832 · 10th to 90th $525 to $1,738
$1$10$100$1K$10Kfacility $4,074professional $832

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
$660.69
Median
$4,073.80
Typical High
$14,125.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,819.70
Median
$6,918.31
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,778.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$11,481.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$11,220.18
Typical High
$14,125.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$891.25
Typical High
$1,318.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$3,162.28
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,548.13
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,479.11

Where Illinois 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

Illinois· 35th of 51

$4,906

$832 physician + $4,074 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.