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Ultrasound-Guided Breast Biopsy, First Lesion

Connecticut rates for HCPCS 19083

A radiologist uses real-time ultrasound imaging to guide a needle to a breast abnormality and remove tissue samples for pathology testing, typically also placing a small marker clip at the biopsy site. This covers the first area biopsied during the procedure.

Rates data updated July 2026.

How much does Ultrasound-Guided Breast Biopsy, First Lesion cost?

$5,586

Typical total for the visit. In Connecticut, July 2026.

Insurers have agreed to pay about $5,586 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $5,129 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$200 to $759
Facility feeThe hospital or surgery center$5,129$3,890 to $6,761

How much rates vary

Facilitymedian $5,129 · 10th to 90th $2,818 to $8,511Professionalmedian $457 · 10th to 90th $138 to $1,230
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $5,129professional $457

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
$2,398.83
Median
$5,128.61
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$457.09
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$467.74
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$758.58
Typical High
$1,584.89
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,621.81
Typical High
$1,995.26
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,162.28
Typical High
$5,128.61
Health New England
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$524.81
Typical High
$1,122.02

Where Connecticut sits

The same service costs 5.5 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeConnecticut $5,586 · 2nd of 51
CA $6,098MD $1,099

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.