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Partial Breast Removal (Lumpectomy)

Massachusetts 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?

$4,445

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

Insurers have agreed to pay about $4,445 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $3,467 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$977$646 to $1,549
Facility feeThe hospital or surgery center$3,467$2,455 to $4,898

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,096 to $8,511Professionalmedian $977 · 10th to 90th $525 to $2,630
$500$1K$2K$5K$10Kfacility $3,467professional $977

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
$1,778.28
Median
$3,467.37
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$2,754.23
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,370.32
Typical High
$45,708.82
AllWays Health Partners
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,318.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$1,174.90
Typical High
$2,041.74
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$3,890.45
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,174.90
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,174.90
Typical High
$1,995.26
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$11,481.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,202.26
Typical High
$1,445.44
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,370.32
Typical High
$45,708.82
Mass General Brigham
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,230.27
Typical High
$2,290.87

Where Massachusetts 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

Massachusetts· 37th of 51

$4,445

$977 physician + $3,467 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.