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Ultrasound-Guided Breast Biopsy, First Lesion

Wisconsin 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.

Facilitymedian $3,467 · 10th–90th $1,778$5,8880%10%10th90th$3,467Professionalmedian $575 · 10th–90th $151$2,8840%5%10th90th$575$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,090.30
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$537.03
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,570.88
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$676.08
Typical High
$1,905.46
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,548.82
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$1,479.11
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$2,398.83
Typical High
$4,265.80
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$2,238.72
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,174.90
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$501.19
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$1,905.46
Quartz
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$562.34
Typical High
$1,659.59
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,981.07
Quartz
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,047.13
Typical High
$3,467.37
Security Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$977.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,096.48
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,548.13
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$562.34
Typical High
$2,187.76