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Connecticut 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 $5,129 · 10th–90th $3,467–$8,5110%10%10th90th$5,129Professionalmedian $407 · 10th–90th $145–$1,0470%5%10%10th90th$407$50.0$200.0$1.0K$5.0K

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
$3,467.37 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $407.38 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,168.69 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $457.09 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $758.58 / $1,584.89
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,778.28 / $1,995.26
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,981.07 / $4,265.80
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $331.13 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,025.60 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $549.54 / $1,096.48