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Ultrasound-Guided Breast Biopsy, First Lesion

Indiana 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?

$4,576

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

Insurers have agreed to pay about $4,576 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $4,169 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$407$174 to $661
Facility feeThe hospital or surgery center$4,169$2,399 to $6,026

How much rates vary

Facilitymedian $4,169 · 10th to 90th $501 to $8,318Professionalmedian $407 · 10th to 90th $132 to $891
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,169professional $407

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
$416.87
Median
$3,630.78
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$380.19
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$6,760.83
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$446.68
Typical High
$1,148.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$1,288.25
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$478.63
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$436.52
Typical High
$954.99

Where Indiana 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 feeIndiana $4,576 · 7th 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.