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Ultrasound-Guided Breast Biopsy, First Lesion

Ohio 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?

$3,962

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

Insurers have agreed to pay about $3,962 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $3,631 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$200 to $646
Facility feeThe hospital or surgery center$3,631$2,344 to $5,370

How much rates vary

Facilitymedian $3,631 · 10th to 90th $575 to $7,244Professionalmedian $331 · 10th to 90th $141 to $1,000
$10.0$100.0$1.0K$10.0Kfacility $3,631professional $331

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
$537.03
Median
$3,715.35
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,025.60
Median
$6,918.31
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$323.59
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$457.09
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$446.68
Typical High
$954.99
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,691.53
Typical High
$4,897.79
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$380.19
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$123.03
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$467.74
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$426.58
Typical High
$954.99

Where Ohio 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 feeOhio $3,962 · 17th 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.