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Partial Breast Removal (Lumpectomy)

Rhode Island 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?

$661

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $661 for this service. Most negotiated rates run $513 to $2,754.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,570 to $11,482Professionalmedian $661 · 10th to 90th $479 to $1,288
$500$1K$2K$5K$10Kfacility $4,677professional $661

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
$2,398.83
Median
$4,786.30
Typical High
$11,748.98
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$794.33
Typical High
$1,380.38

Where Rhode Island sits

The same service costs 6.8 times more in Wyoming than in Rhode Island. 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.

Rhode Island· 51st of 51

$661

WY $4,467RI $661

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.