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Partial Breast Removal (Lumpectomy)

South Carolina 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?

$9,504

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $9,504 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $8,710 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$794$646 to $2,138
Facility feeThe hospital or surgery center$8,710$4,677 to $12,023

How much rates vary

Facilitymedian $8,710 · 10th to 90th $759 to $16,596Professionalmedian $794 · 10th to 90th $550 to $2,692
$1$10$100$1K$10Kfacility $8,710professional $794

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
$758.58
Median
$8,912.51
Typical High
$17,782.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$31,622.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$2,691.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$851.14
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,786.30
Typical High
$9,549.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$851.14
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$10,715.19
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,318.26

Where South Carolina 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

South Carolina· 3rd of 51

$9,504

$794 physician + $8,710 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.