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Unlisted Surgical Procedure On The Breast

West 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 October 2026.

How much does Unlisted Surgical Procedure On The Breast cost?

$1,413

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,202 to $1,549.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,479 · 10th to 90th $1,202 to $2,754Professionalmedian $407 · 10th to 90th $407 to $407
$50$200$1K$5Kfacility $1,479professional $407

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
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$10,964.78

Where West Virginia sits

The same service costs 91.2 times more in Alaska 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.

West Virginia· 44th of 51

$1,413

AK $7,244MT $79.43

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.