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Removal of the Whole Breast

Vermont 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 October 2026.

How much does Removal of the Whole Breast cost?

$6,026

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $6,026 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $4,677 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$1,047 to $1,622
Facility feeThe hospital or surgery center$4,677$4,677 to $4,677

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,188 to $6,310Professionalmedian $1,349 · 10th to 90th $933 to $2,138
$200$500$1K$2K$5Kfacility $4,677professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,047.13
Typical High
$1,148.15
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,248.07
Typical High
$7,413.10
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$1,621.81
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,290.87

Where Vermont sits

The same service costs 4.1 times more in Colorado than in Hawaii. 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

Vermont· 14th of 51

$6,026

$1,349 physician + $4,677 facility

CO $12,128HI $2,968

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.