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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 October 2026.

How much does Ultrasound-Guided Breast Biopsy, First Lesion cost?

$1,122

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

Insurers have agreed to pay about $1,122 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $813 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$309$219 to $776
Facility feeThe hospital or surgery center$813$224 to $891

How much rates vary

Facilitymedian $813 · 10th to 90th $224 to $1,445Professionalmedian $309 · 10th to 90th $148 to $933
$100$200$500$1K$2K$5Kfacility $813professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$1,995.26
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$354.81
Typical High
$812.83
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$1,202.26
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$275.42
Typical High
$776.25
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$281.84
Typical High
$891.25
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$239.88
Typical High
$870.96
Providence
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$1,202.26
Typical High
$3,388.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$245.47
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$645.65
Typical High
$1,148.15

Where Montana sits

The same service costs 4.5 times more in Colorado than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Montana· 50th of 51

$1,122

$309 physician + $813 facility

CO $4,866MD $1,088

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.