go back

Partial Breast Removal (Lumpectomy)

West Virginia 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?

$8,331

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $8,331 for this procedure. That total is two separate charges: $1,413 to the doctor who performs it, and $6,918 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,413$661 to $1,445
Facility feeThe hospital or surgery center$6,918$2,754 to $8,913

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,413 to $10,000Professionalmedian $1,413 · 10th to 90th $550 to $1,479
$100$500$2K$10Kfacility $6,918professional $1,413

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
$1,737.80
Median
$6,918.31
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,412.54
Typical High
$1,479.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$3,019.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$15,488.17
Typical High
$21,877.62
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,023.29

Where West Virginia 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

West Virginia· 8th of 51

$8,331

$1,413 physician + $6,918 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.