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Ultrasound-Guided Breast Biopsy, First Lesion

Virginia 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?

$2,956

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

Insurers have agreed to pay about $2,956 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $2,455 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 $724
Facility feeThe hospital or surgery center$2,455$912 to $4,786

How much rates vary

Facilitymedian $2,455 · 10th to 90th $224 to $7,244Professionalmedian $501 · 10th to 90th $148 to $1,072
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,455professional $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
$537.03
Median
$2,754.23
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$501.19
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$398.11
Typical High
$794.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$446.68
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$562.34
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$446.68
Typical High
$954.99
Sentara
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$398.11
Typical High
$1,122.02

Where Virginia 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 feeVirginia $2,956 · 33rd 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.