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Ultrasound-Guided Breast Biopsy, First Lesion

North Carolina 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?

$2,740

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,740 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $2,239 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$191 to $1,000
Facility feeThe hospital or surgery center$2,239$1,175 to $3,631

How much rates vary

Facilitymedian $2,239 · 10th to 90th $427 to $5,623Professionalmedian $501 · 10th to 90th $148 to $1,514
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,239professional $501

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
$501.19
Median
$2,454.71
Typical High
$5,888.44
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$501.19
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$891.25
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$549.54
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$380.19
Typical High
$741.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,548.82
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$467.74
Typical High
$1,148.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,168.69
Typical High
$4,168.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$4,073.80

Where North Carolina 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 feeNorth Carolina $2,740 · 39th 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.