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Ultrasound-Guided Breast Biopsy, First Lesion

South Dakota 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?

$3,545

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $3,545 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $3,236 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$309$148 to $1,445
Facility feeThe hospital or surgery center$3,236$2,138 to $3,388

How much rates vary

Facilitymedian $3,236 · 10th to 90th $2,089 to $4,365Professionalmedian $309 · 10th to 90th $141 to $1,622
$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,236professional $309

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
$2,137.96
Median
$3,311.31
Typical High
$4,365.16
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
$141.25
Median
$275.42
Typical High
$1,621.81
Avera
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$302.00
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$676.08
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$1,148.15
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$776.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$446.68
Typical High
$1,621.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$1,096.48

Where South Dakota 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 feeSouth Dakota $3,545 · 22nd 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.