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Partial Breast Removal (Lumpectomy)

Tennessee 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?

$4,220

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

Insurers have agreed to pay about $4,220 for this procedure. That total is two separate charges: $832 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$646 to $1,288
Facility feeThe hospital or surgery center$3,388$2,042 to $6,761

How much rates vary

Facilitymedian $3,388 · 10th to 90th $977 to $8,318Professionalmedian $832 · 10th to 90th $525 to $2,399
$500$1K$2K$5K$10Kfacility $3,388professional $832

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
$891.25
Median
$3,162.28
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$2,290.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,073.80
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$912.01
Typical High
$1,412.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$45,708.82
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,380.38

Where Tennessee 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

Tennessee· 40th of 51

$4,220

$832 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.