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Ultrasound-Guided Breast Biopsy, First Lesion

New York 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?

$4,682

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

Insurers have agreed to pay about $4,682 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $4,169 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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$191 to $776
Facility feeThe hospital or surgery center$4,169$2,455 to $7,079

How much rates vary

Facilitymedian $4,169 · 10th to 90th $479 to $9,550Professionalmedian $513 · 10th to 90th $141 to $1,380
$100.0$1.0K$10.0Kfacility $4,169professional $513

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
$281.84
Median
$3,981.07
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,041.74
Median
$9,772.37
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$478.63
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,621.81
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$1,698.24
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$234.42
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$602.56
Typical High
$2,187.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$977.24
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$1,047.13
Fidelis
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$501.19
Typical High
$575.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,715.35
Typical High
$5,623.41
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$501.19
Typical High
$1,288.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$269.15
Univera
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$977.24

Where New York 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 York $4,682 · 5th 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.