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Image-Guided Breast Biopsy, First Site

Washington, DC rates for HCPCS 19081

A radiologist uses imaging, such as mammography-based guidance, to precisely direct a needle into a specific area of breast tissue and remove a small sample for laboratory testing. A tiny marker clip is often left at the biopsy site to help locate the area later if needed. This describes the biopsy of the first area sampled during the visit.

Rates data updated July 2026.

How much does Image-Guided Breast Biopsy, First Site cost?

$537

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $158 to $1,380.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $380 to $6,607Professionalmedian $389 · 10th to 90th $36 to $1,349
$50$200$1K$5Kfacility $2,512professional $389

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
$380.19
Median
$2,137.96
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$31.62
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$190.55
Typical High
$1,348.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$2,041.74
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$489.78
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$549.54
Typical High
$1,318.26

Where Washington, DC sits

The same service costs 4.0 times more in California than in South Dakota. 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.

Washington, DC· 45th of 51

$537

CA $1,698SD $427

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.