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Removal of the Whole Breast

Pennsylvania rates for HCPCS 19303

Removes all of the breast tissue on one side, including the nipple and the areola, through an incision across the chest. The muscles of the chest wall are left in place and no formal clearance of the armpit lymph nodes is included, though a limited node sampling may be done as a separate service. It is used to treat breast cancer, and sometimes to reduce risk in a person at high risk of developing it.

Rates data updated July 2026.

How much does Removal of the Whole Breast cost?

$5,495

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $2,951 to $7,586.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,047 to $14,791
$500.0$2.0K$10.0K$50.0K$200.0Kfacility $5,495

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
$1,047.13
Median
$5,495.41
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,511.89
Median
$6,760.83
Typical High
$29,512.09
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,623.41
Typical High
$54,954.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$13,489.63
Typical High
$33,113.11
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,890.45
Median
$14,791.08
Typical High
$53,703.18
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$38,904.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$5,128.61
Typical High
$11,748.98
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,884.03
Median
$7,762.47
Typical High
$33,884.42
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$19,498.45

Where Pennsylvania sits

The same service costs 15.1 times more in Indiana than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $5,495 · 21st of 51
IN $14,125DE $933

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.