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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 July 2026.

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

$501

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $204 to $646.

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.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,818 to $11,220Professionalmedian $501 · 10th to 90th $145 to $759
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,802professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$501.19
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,890.45
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$323.59
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$676.08
Typical High
$1,548.82

Where Vermont sits

The same service costs 3.6 times more in Wisconsin than in South Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $501 · 49th of 51
WI $1,549SD $427

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.