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Partial Breast Removal (Lumpectomy)

Nebraska 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?

$7,434

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

Insurers have agreed to pay about $7,434 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $6,457 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$977$589 to $1,950
Facility feeThe hospital or surgery center$6,457$5,129 to $9,772

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,318 to $13,490Professionalmedian $977 · 10th to 90th $490 to $2,884
$50$200$1K$5K$20Kfacility $6,457professional $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
$1,318.26
Median
$7,943.28
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$977.24
Typical High
$2,951.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,047.13
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$7,762.47
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,630.27
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,897.79
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,288.25
Typical High
$1,778.28

Where Nebraska 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

Nebraska· 14th of 51

$7,434

$977 physician + $6,457 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.