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Illinois 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 $3,090 · 10th–90th $490–$6,3100%5%10%10th90th$3,090Professionalmedian $407 · 10th–90th $151–$1,0960%5%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
$489.78 / $3,090.30 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $398.11 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $177.83 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,398.83 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $467.74 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $407.38 / $933.25
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $707.95 / $1,318.26
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $204.17 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,238.72 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $512.86 / $1,096.48