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Partial Breast Removal (Lumpectomy)

Missouri 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?

$4,049

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

Insurers have agreed to pay about $4,049 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $3,236 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$813$617 to $1,023
Facility feeThe hospital or surgery center$3,236$1,698 to $7,079

How much rates vary

Facilitymedian $3,236 · 10th to 90th $813 to $14,454Professionalmedian $813 · 10th to 90th $575 to $1,950
$500$1K$2K$5K$10K$20Kfacility $3,236professional $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
$933.25
Median
$3,548.13
Typical High
$14,125.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,467.37
Median
$9,332.54
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$3,467.37
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,137.96
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$13,803.84
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$851.14
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,995.26
Typical High
$26,302.68
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$165.96
Median
$831.76
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,258.93

Where Missouri 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

Missouri· 43rd of 51

$4,049

$813 physician + $3,236 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.