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Partial Breast Removal (Lumpectomy)

North Dakota 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?

$4,264

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $4,264 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $2,884 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$646 to $1,738
Facility feeThe hospital or surgery center$2,884$977 to $5,012

How much rates vary

Facilitymedian $2,884 · 10th to 90th $646 to $7,943Professionalmedian $1,380 · 10th to 90th $550 to $2,512
$1K$2K$5Kfacility $2,884professional $1,380

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
$645.65
Median
$2,884.03
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1,949.84
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,148.15
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,122.02
Typical High
$1,548.82

Where North Dakota 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

North Dakota· 39th of 51

$4,264

$1,380 physician + $2,884 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.