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Modified Radical Mastectomy

Iowa 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?

$5,248

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $2,692 to $7,943.

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.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,820 to $13,490Professionalmedian $2,692 · 10th to 90th $1,148 to $5,012
$200$500$1K$2K$5K$10K$20Kfacility $6,026professional $2,692

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
$1,737.80
Median
$5,370.32
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,995.26
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,897.79
Typical High
$16,218.10
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,754.23
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$17,378.01

Where Iowa sits

The same service costs 15.8 times more in Maine than in Delaware. 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.

Iowa· 28th of 50

$5,248

ME $18,197DE $1,148

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.