go back

Ultrasound-Guided Breast Biopsy, First Lesion

New Jersey 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?

$5,388

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $5,388 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $4,898 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$490$151 to $724
Facility feeThe hospital or surgery center$4,898$2,630 to $6,607

How much rates vary

Facilitymedian $4,898 · 10th to 90th $832 to $8,511Professionalmedian $490 · 10th to 90th $135 to $1,549
$100.0$500.0$2.0K$10.0Kfacility $4,898professional $490

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
$831.76
Median
$5,011.87
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$489.78
Typical High
$3,162.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$776.25
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,412.54
Typical High
$8,317.64
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$549.54
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$478.63
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$562.34
Typical High
$912.01
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$6,165.95
Typical High
$8,511.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$549.54
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$331.13
Typical High
$1,096.48

Where New Jersey 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 feeNew Jersey $5,388 · 3rd 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.