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Partial Breast Removal (Lumpectomy)

Oregon 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?

$4,126

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

Insurers have agreed to pay about $4,126 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $2,951 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$676 to $1,862
Facility feeThe hospital or surgery center$2,951$1,288 to $7,943

How much rates vary

Facilitymedian $2,951 · 10th to 90th $1,000 to $12,023Professionalmedian $1,175 · 10th to 90th $550 to $2,630
$100$500$2K$10K$50Kfacility $2,951professional $1,175

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
$6,918.31
Typical High
$13,182.57
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,715.35
Median
$8,128.31
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,047.13
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,380.38
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,698.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,513.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,778.28
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,288.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,258.93
Typical High
$1,778.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,589.25
Typical High
$15,135.61
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$13,803.84
Median
$18,620.87
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,862.09

Where Oregon 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

Oregon· 41st of 51

$4,126

$1,175 physician + $2,951 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.