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Partial Breast Removal (Lumpectomy)

Maryland 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?

$6,183

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

Insurers have agreed to pay about $6,183 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $5,370 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$813$661 to $1,585
Facility feeThe hospital or surgery center$5,370$3,631 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $813 to $10,000Professionalmedian $813 · 10th to 90th $550 to $2,884
$500$1K$2K$5K$10K$20Kfacility $5,370professional $813

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
$812.83
Median
$5,370.32
Typical High
$10,000.00
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,623.41
Median
$7,585.78
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$2,951.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,348.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,023.29

Where Maryland 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

Maryland· 22nd of 51

$6,183

$813 physician + $5,370 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.