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Ultrasound-Guided Breast Biopsy, First Lesion

Iowa 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?

$3,608

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

Insurers have agreed to pay about $3,608 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $2,884 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$302 to $1,738
Facility feeThe hospital or surgery center$2,884$1,778 to $4,074

How much rates vary

Facilitymedian $2,884 · 10th to 90th $759 to $5,888Professionalmedian $724 · 10th to 90th $148 to $3,020
$50.0$200.0$1.0K$5.0Kfacility $2,884professional $724

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
$758.58
Median
$2,884.03
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,818.38
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$724.44
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$933.25
Typical High
$1,445.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$575.44
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,318.26
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,148.15
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,148.15
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$1,548.82
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,884.03
Typical High
$8,128.31
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$549.54
Typical High
$1,548.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$1,047.13

Where Iowa 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 feeIowa $3,608 · 21st 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.