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Modified Radical Mastectomy

Nationwide rates for HCPCS 19307

Removes the whole breast together with the lymph nodes in the armpit, through an incision across the chest. The large chest muscle underneath is left in place, though a smaller muscle beneath it may be removed to reach the nodes. It is used for breast cancer that has spread to, or is likely to have spread to, the armpit nodes.

Rates data updated July 2026.

How much does Modified Radical Mastectomy cost?

$8,697

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,697 for this procedure. That total is two separate charges: $1,778 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 55 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,778$1,318 to $2,630
Facility feeThe hospital or surgery center$6,918$3,311 to $11,749

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,445 to $17,378Professionalmedian $1,778 · 10th to 90th $1,122 to $3,715
$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $6,918professional $1,778

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
$1,202.26
Median
$5,370.32
Typical High
$14,125.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,995.26
Median
$6,760.83
Typical High
$17,782.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,890.45
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$7,079.46
Typical High
$16,595.87

What it costs in each state

The same service costs 6.1 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
WI $15,701MD $2,583

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.