Cost of a Mastectomy Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's concentration of major medical centers along the I-95 corridor creates a robust network of breast surgery specialists across the state. Mastectomy procedures typically range from $425.66 to $2,641.73, with a median cost of $835.93 based on negotiated insurance rates. With 394 active providers offering mastectomy services throughout Connecticut, patients have substantial options for finding quality care that fits their budget and location preferences.
Average
$1,301
Median
$836
Lowest
$426
Highest
$2,642
Providers
394
32% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $909 | $1,791 | $6,051 | 388 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $807 | $1,720 | $6,060 | 408 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $70 | $679 | $2,135 | 414 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $366 | $707 | $2,410 | 395 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $416 | $848 | $1,820 | 418 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $361 | $774 | $1,590 | 441 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $527 | $1,116 | $3,201 | 399 |
| Septoplasty Nasal septum repair | 30520 | $432 | $780 | $2,160 | 394 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $194 | $361 | $742 | 393 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $368 | $669 | $1,435 | 384 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $311 | $618 | $1,957 | 394 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 19301 — Mastectomy, partial / simple complete). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 19301 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 19301 (Mastectomy, partial / simple complete), as mandated by the CMS Price Transparency Rule.
What CPT 19301 covers: the provider's professional fee for mastectomy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Connecticut
These hospitals in Connecticut are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
FARMINGTON, CT
SHARON, CT
MERIDEN, CT
DERBY, CT
WEST HAVEN, CT
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Mastectomy Visit Costs Vary Across Connecticut
Healthcare costs in Connecticut run approximately 14% above the national average, reflecting the state's high cost of living and concentration of prestigious medical institutions. The state's compact geography means most residents live within an hour of major medical centers, creating intense competition among top-tier facilities while maintaining premium pricing structures.
Urban vs. Rural Provider Availability
Connecticut's population density along the I-95 and I-91 corridors concentrates most mastectomy specialists in the Hartford, New Haven, and Fairfield County regions. Rural areas in the eastern and northwestern parts of the state have fewer surgical options, often requiring patients to travel to regional medical centers for specialized breast surgery. This geographic imbalance can create longer wait times and higher travel costs for patients in less populated areas.
Facility Type and Overhead Costs
Hospital-based outpatient surgery centers in Connecticut typically charge 30-50% more than independent surgical facilities due to higher overhead costs and academic medical center premiums. Major health systems like Yale-New Haven, Hartford HealthCare, and Trinity Health dominate the market, with their hospital-employed surgeons generally commanding higher rates than independent practitioners. Ambulatory surgery centers offer a middle-ground option, providing hospital-quality care at reduced facility fees.
Insurance Market Competition in Connecticut
The presence of three major insurers - Anthem, Cigna, and UnitedHealthcare - creates moderate competition in Connecticut's insurance market, though consolidation has reduced leverage for negotiating lower provider rates. State employee health plans represent a significant portion of the insured population, giving these plans substantial negotiating power with healthcare providers. The relatively small geographic area allows insurers to maintain focused provider networks, sometimes limiting patient choice but improving cost predictability.
Physician Supply and Demand in Connecticut
With 394 providers offering mastectomy services, Connecticut has a robust supply of qualified surgeons relative to its population of 3.6 million residents. This healthy supply-to-demand ratio helps moderate pricing and reduces wait times compared to states with surgeon shortages. The concentration of medical schools and residency programs in Connecticut ensures a steady pipeline of new specialists, though many graduates relocate to other regions after training.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Mastectomy Costs in Connecticut
What is the average cost of a Mastectomy visit in Connecticut without insurance?
Does Connecticut Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Connecticut?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Mastectomy visit in Connecticut?
How does telemedicine affect the cost of seeing a Mastectomy in Connecticut?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 19301)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $3,947 | $1,668 |
| 2 | Iowa Range: $85 – $3,021 | $1,499 |
| 3 | Rhode Island Range: $509 – $2,642 | $1,413 |
| 4 | Wyoming Range: $747 – $2,064 | $1,305 |
| 5 | Connecticut Range: $426 – $2,642 | $1,301 |
| 6 | South Dakota Range: $491 – $2,423 | $1,284 |
| 7 | Alaska Range: $85 – $2,902 | $1,275 |
| 8 | Georgia Range: $350 – $2,473 | $1,269 |
| 9 | Minnesota Range: $445 – $2,393 | $1,264 |
| 10 | Massachusetts Range: $350 – $2,408 | $1,249 |
| 11 | New York Range: $452 – $2,642 | $1,234 |
| 12 | Nebraska Range: $760 – $1,529 | $1,227 |
| 13 | Montana Range: $85 – $2,902 | $1,221 |
| 14 | Pennsylvania Range: $250 – $2,642 | $1,199 |
| 15 | Delaware Range: $95 – $2,642 | $1,147 |
| 16 | New Hampshire Range: $537 – $1,658 | $1,142 |
| 17 | Washington Range: $585 – $1,804 | $1,112 |
| 18 | Maine Range: $749 – $1,274 | $1,093 |
| 19 | North Dakota Range: $478 – $1,820 | $1,061 |
| 20 | District of Columbia Range: $434 – $1,611 | $1,037 |
| 21 | New Mexico Range: $560 – $1,525 | $1,008 |
| 22 | California Range: $85 – $1,972 | $1,006 |
| 23 | Utah Range: $85 – $1,449 | $966 |
| 24 | North Carolina Range: $346 – $1,713 | $963 |
| 25 | West Virginia Range: $366 – $1,695 | $946 |
| 26 | Vermont Range: $491 – $1,593 | $944 |
| 27 | Oregon Range: $85 – $1,746 | $922 |
| 28 | Indiana Range: $85 – $1,818 | $892 |
| 29 | Illinois Range: $90 – $1,846 | $892 |
| 30 | Michigan Range: $429 – $1,470 | $851 |
| 31 | Colorado Range: $85 – $1,561 | $841 |
| 32 | Hawaii Range: $85 – $1,475 | $827 |
| 33 | Oklahoma Range: $510 – $1,257 | $807 |
| 34 | Idaho Range: $85 – $1,484 | $803 |
| 35 | Kentucky Range: $85 – $1,529 | $783 |
| 36 | Tennessee Range: $371 – $1,198 | $777 |
| 37 | South Carolina Range: $318 – $1,315 | $776 |
| 38 | New Jersey Range: $314 – $1,446 | $773 |
| 39 | Florida Range: $85 – $1,536 | $770 |
| 40 | Kansas Range: $571 – $995 | $763 |
| 41 | Missouri Range: $516 – $946 | $762 |
| 42 | Alabama Range: $366 – $1,251 | $756 |
| 43 | Maryland Range: $346 – $1,292 | $755 |
| 44 | Virginia Range: $346 – $1,292 | $755 |
| 45 | Louisiana Range: $331 – $1,229 | $732 |
| 46 | Arizona Range: $525 – $1,108 | $728 |
| 47 | Texas Range: $85 – $1,341 | $716 |
| 48 | Mississippi Range: $447 – $1,086 | $715 |
| 49 | Ohio Range: $303 – $1,175 | $692 |
| 50 | Arkansas Range: $85 – $1,107 | $675 |
| 51 | Nevada Range: $300 – $1,022 | $610 |