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Ultrasound-Guided Breast Biopsy, First Lesion

Maryland 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?

$1,099

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

Insurers have agreed to pay about $1,099 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $562 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$537$224 to $1,000
Facility feeThe hospital or surgery center$562$355 to $955

How much rates vary

Facilitymedian $562 · 10th to 90th $148 to $4,074Professionalmedian $537 · 10th to 90th $148 to $2,344
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $562professional $537

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
$147.91
Median
$562.34
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$549.54
Typical High
$2,454.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$467.74
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$467.74
Typical High
$1,071.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$794.33

Where Maryland 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 feeMaryland $1,099 · 51st 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.