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Ultrasound-Guided Breast Biopsy, First Lesion

Maine 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?

$3,499

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

Insurers have agreed to pay about $3,499 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $3,020 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$479$174 to $661
Facility feeThe hospital or surgery center$3,020$2,399 to $6,457

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,479 to $8,511Professionalmedian $479 · 10th to 90th $145 to $912
$100.0$500.0$2.0K$10.0K$50.0Kfacility $3,020professional $479

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
$1,479.11
Median
$2,951.21
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$489.78
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$616.60
Typical High
$1,096.48
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$524.81
Typical High
$912.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$8,511.38
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$489.78
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$524.81
Typical High
$1,096.48

Where Maine 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 feeMaine $3,499 · 27th 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.