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Ultrasound-Guided Breast Biopsy, First Lesion

Illinois 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?

$3,055

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

Insurers have agreed to pay about $3,055 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $2,692 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$195 to $676
Facility feeThe hospital or surgery center$2,692$1,479 to $3,981

How much rates vary

Facilitymedian $2,692 · 10th to 90th $550 to $5,495Professionalmedian $363 · 10th to 90th $141 to $1,096
$200$500$1K$2K$5K$10Kfacility $2,692professional $363

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
$549.54
Median
$2,691.53
Typical High
$5,495.41
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,265.80
Median
$4,677.35
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$354.81
Typical High
$1,148.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,398.83
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$467.74
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$407.38
Typical High
$891.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$691.83
Typical High
$1,318.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$190.55
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$501.19
Typical High
$1,096.48

Where Illinois sits

The same service costs 5.5 times more in California than in Maryland. 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.

Physician feeFacility fee

Illinois· 30th of 51

$3,055

$363 physician + $2,692 facility

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.