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Modified Radical Mastectomy

Hawaii 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 October 2026.

How much does Modified Radical Mastectomy cost?

$5,182

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

Insurers have agreed to pay about $5,182 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $3,802 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$1,380$1,349 to $1,445
Facility feeThe hospital or surgery center$3,802$3,020 to $6,026

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,570 to $6,026Professionalmedian $1,380 · 10th to 90th $200 to $11,749
$200$500$1K$2K$5K$10K$20Kfacility $3,802professional $1,380

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
$2,570.40
Median
$6,025.60
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,737.80
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$1,380.38
Typical High
$14,125.38

Where Hawaii sits

The same service costs 3.5 times more in Colorado 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

Hawaii· 30th of 51

$5,182

$1,380 physician + $3,802 facility

CO $13,219MT $3,812

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.