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Partial Breast Removal (Lumpectomy)

Kentucky 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?

$4,034

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

Insurers have agreed to pay about $4,034 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $3,388 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$646$550 to $1,047
Facility feeThe hospital or surgery center$3,388$1,950 to $6,026

How much rates vary

Facilitymedian $3,388 · 10th to 90th $851 to $8,128Professionalmedian $646 · 10th to 90th $447 to $1,230
$500$1K$2K$5K$10Kfacility $3,388professional $646

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
$630.96
Median
$2,630.27
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$1,380.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$1,148.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,071.52
Typical High
$3,019.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,388.44
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,202.26

Where Kentucky 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

Kentucky· 44th of 51

$4,034

$646 physician + $3,388 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.