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California rates for HCPCS 19081

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance

Facilitymedian $5,888 · 10th–90th $2,138$13,4900%5%10%10th90th$5,888Professionalmedian $562 · 10th–90th $155$2,8180%5%10th90th$562$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,888.44 / $12,302.69
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $549.54 / $2,884.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,165.95 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $831.76 / $1,778.28
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $4,570.88 / $8,912.51
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $616.60 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $602.56 / $1,445.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $630.96 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $457.09 / $891.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $4,168.69
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,073.80 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $676.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $478.63 / $933.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $524.81 / $1,288.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $2,041.74
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $575.44 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,365.16 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $524.81 / $1,230.27