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Partial Breast Removal (Lumpectomy)

Maine 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?

$9,112

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

Insurers have agreed to pay about $9,112 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $8,318 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$794$562 to $1,023
Facility feeThe hospital or surgery center$8,318$4,571 to $10,000

How much rates vary

Facilitymedian $8,318 · 10th to 90th $3,981 to $22,387Professionalmedian $794 · 10th to 90th $525 to $1,288
$1K$2K$5K$10K$20Kfacility $8,318professional $794

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
$3,981.07
Median
$8,317.64
Typical High
$22,387.21
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$524.81
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$954.99
Typical High
$1,445.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,584.89
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$8,317.64
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,778.28

Where Maine 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

Maine· 4th of 51

$9,112

$794 physician + $8,318 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.