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Partial Breast Removal (Lumpectomy)

Vermont 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?

$813

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $676 to $2,138.

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 $5,248 · 10th to 90th $1,738 to $11,220Professionalmedian $776 · 10th to 90th $562 to $2,138
$200$500$1K$2K$5K$10Kfacility $5,248professional $776

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,897.79
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$891.25
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$2,754.23

Where Vermont 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.

Vermont· 48th of 51

$813

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.