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Partial Breast Removal (Lumpectomy)

Montana 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?

$2,180

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

Insurers have agreed to pay about $2,180 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $1,202 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$977$617 to $1,995
Facility feeThe hospital or surgery center$1,202$1,122 to $6,761

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,072 to $10,471Professionalmedian $977 · 10th to 90th $550 to $3,090
$500$2K$10K$50Kfacility $1,202professional $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
$2,630.27
Median
$6,760.83
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,047.13
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,348.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$691.83
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,621.81

Where Montana 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

Montana· 51st of 51

$2,180

$977 physician + $1,202 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.