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Partial Breast Removal (Lumpectomy)

Indiana 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?

$8,745

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

Insurers have agreed to pay about $8,745 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $8,128 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$537 to $813
Facility feeThe hospital or surgery center$8,128$4,266 to $12,589

How much rates vary

Facilitymedian $8,128 · 10th to 90th $1,000 to $17,378Professionalmedian $617 · 10th to 90th $490 to $1,175
$500$1K$2K$5K$10K$20Kfacility $8,128professional $617

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
$794.33
Median
$6,309.57
Typical High
$13,803.84
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$1,202.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$851.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$676.08
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$1,148.15

Where Indiana 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

Indiana· 7th of 51

$8,745

$617 physician + $8,128 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.