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Ultrasound-Guided Breast Biopsy, First Lesion

West 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?

$4,046

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

Insurers have agreed to pay about $4,046 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $3,715 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$295 to $468
Facility feeThe hospital or surgery center$3,715$3,020 to $4,677

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,738 to $6,918Professionalmedian $331 · 10th to 90th $148 to $977
$50.0$200.0$1.0K$5.0Kfacility $3,715professional $331

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
$1,737.80
Median
$3,715.35
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$331.13
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$416.87
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$467.74
Typical High
$2,754.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,365.16
Typical High
$8,709.64
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$223.87
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$354.81
Typical High
$1,047.13

Where West 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 feeWest Virginia $4,046 · 16th 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.