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Partial Breast Removal (Lumpectomy)

New Jersey 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?

$7,469

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,469 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $6,761 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$708$575 to $1,202
Facility feeThe hospital or surgery center$6,761$5,248 to $8,511

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,660 to $10,233Professionalmedian $708 · 10th to 90th $537 to $4,467
$500$1K$2K$5K$10Kfacility $6,761professional $708

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
$1,659.59
Median
$6,606.93
Typical High
$10,232.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,513.56
Median
$7,943.28
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$6,025.60
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,918.31
Typical High
$15,135.61
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$851.14
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,202.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,511.38
Typical High
$17,782.79
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$691.83
Typical High
$1,318.26

Where New Jersey 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

New Jersey· 13th of 51

$7,469

$708 physician + $6,761 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.