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Ultrasound-Guided Breast Biopsy, First Lesion

Michigan 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?

$2,881

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

Insurers have agreed to pay about $2,881 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $2,455 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$427$182 to $631
Facility feeThe hospital or surgery center$2,455$1,318 to $3,467

How much rates vary

Facilitymedian $2,455 · 10th to 90th $575 to $5,370Professionalmedian $427 · 10th to 90th $148 to $1,122
$50.0$200.0$1.0K$5.0Kfacility $2,455professional $427

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
$588.84
Median
$2,454.71
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$870.96
Median
$2,951.21
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$478.63
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$199.53
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$524.81
Typical High
$912.01
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$575.44
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$562.34
Typical High
$870.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$562.34
Typical High
$933.25

Where Michigan 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 feeMichigan $2,881 · 34th 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.