go back

Extended Radical Mastectomy

New Jersey rates for HCPCS 19306

Removal of the entire breast together with the chest muscles beneath it and the lymph nodes in the armpit and behind the breastbone. It is the most extensive form of breast removal and is now performed only in uncommon situations where cancer has spread into those structures. Recovery is longer than for a standard mastectomy, and reconstruction is often discussed at the same time.

Rates data updated October 2026.

How much does Extended Radical Mastectomy cost?

$1,175

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,862 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$871 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,862$891 to $4,266

How much rates vary

Facilitymedian $1,862 · 10th to 90th $380 to $8,511Professionalmedian $1,175 · 10th to 90th $794 to $2,630
$200$500$1K$2K$5K$10Kfacility $1,862professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$6,918.31
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$645.65
Median
$645.65
Typical High
$812.83
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$602.56
Median
$602.56
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,137.96
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,318.26
Typical High
$3,019.95
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$1,905.46
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$3,235.94
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$1,479.11
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,000.00
Typical High
$2,630.27

Where New Jersey sits

The same service costs 6.8 times more in Alaska than in Texas. 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.

New Jersey· 42nd of 51

$1,175

AK $5,012TX $741

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.