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Ultrasound-Guided Breast Biopsy, First Lesion

Montana 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?

$1,480

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

Insurers have agreed to pay about $1,480 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $891 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$589$170 to $871
Facility feeThe hospital or surgery center$891$282 to $2,570

How much rates vary

Facilitymedian $891 · 10th to 90th $263 to $6,918Professionalmedian $589 · 10th to 90th $148 to $2,138
$100.0$1.0K$10.0K$100.0Kfacility $891professional $589

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
$676.08
Median
$2,691.53
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$588.84
Typical High
$2,691.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$275.42
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$851.14
Typical High
$1,122.02
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$851.14
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$275.42
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$645.65
Typical High
$1,202.26

Where Montana 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 feeMontana $1,480 · 50th 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.