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Partial Breast Removal (Lumpectomy)

New Mexico 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?

$5,280

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

Insurers have agreed to pay about $5,280 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $4,467 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$813$617 to $1,479
Facility feeThe hospital or surgery center$4,467$1,698 to $8,913

How much rates vary

Facilitymedian $4,467 · 10th to 90th $891 to $12,023Professionalmedian $813 · 10th to 90th $490 to $2,884
$50$200$1K$5Kfacility $4,467professional $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
$812.83
Median
$3,630.78
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$977.24
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$8,912.51
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$812.83
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$891.25
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,513.56

Where New Mexico 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 Mexico· 31st of 51

$5,280

$813 physician + $4,467 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.