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Partial Breast Removal (Lumpectomy)

South Dakota 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?

$4,973

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

Insurers have agreed to pay about $4,973 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $3,388 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$1,585$631 to $1,820
Facility feeThe hospital or surgery center$3,388$2,884 to $5,248

How much rates vary

Facilitymedian $3,388 · 10th to 90th $977 to $7,943Professionalmedian $1,585 · 10th to 90th $603 to $2,570
$1K$2K$5K$10Kfacility $3,388professional $1,585

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
$977.24
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,737.80
Typical High
$4,466.84
Avera
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,288.25
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,479.11
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,479.11
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$1,288.25
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,230.27
Typical High
$1,737.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,445.44

Where South Dakota 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 Dakota· 34th of 51

$4,973

$1,585 physician + $3,388 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.