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Unlisted Surgical Procedure On The Breast

Virginia rates for HCPCS 19499

Covers a procedure on the breast that has no standard named entry of its own. It is used when what was performed does not match any established named breast procedure, and the surgeon supplies a written description of what was done.

Rates data updated July 2026.

How much does Unlisted Surgical Procedure On The Breast cost?

$4,571

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $4,786 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$2,042 to $7,079
FacilityA hospital or hospital-owned outpatient department$4,786$2,291 to $7,079

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,950 to $10,471Professionalmedian $4,074 · 10th to 90th $813 to $8,710
$100$200$500$1K$2K$5K$10Kfacility $4,786professional $4,074

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
$1,230.27
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$2,818.38
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$5,623.41
Medcost
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$691.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,709.64
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$8,709.64
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,918.31
Typical High
$13,489.63

Where Virginia sits

The same service costs 46.8 times more in Wisconsin 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.

Virginia· 16th of 50

$4,571

WI $8,128MT $174

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.