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Ultrasound-Guided Breast Biopsy, First Lesion

Vermont 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 October 2026.

How much does Ultrasound-Guided Breast Biopsy, First Lesion cost?

$3,560

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $3,560 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $2,884 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$240 to $851
Facility feeThe hospital or surgery center$2,884$1,585 to $4,786

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,585 to $4,898Professionalmedian $676 · 10th to 90th $191 to $1,148
$200$500$1K$2K$5Kfacility $2,884professional $676

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$204.17
Typical High
$758.58
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$3,890.45
Typical High
$4,168.69
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$977.24
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$354.81
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$676.08
Typical High
$1,288.25

Where Vermont sits

The same service costs 4.5 times more in Colorado than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Vermont· 4th of 51

$3,560

$676 physician + $2,884 facility

CO $4,866MD $1,088

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.