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Ultrasound-Guided Breast Needle Biopsy, Additional Site

Illinois rates for HCPCS 19084

This procedure removes a small tissue sample from a breast lesion using a needle guided by real-time ultrasound imaging, for an additional area sampled in the same visit beyond the first site. A small marker may be left at the biopsy site to help locate it later if needed.

Rates data updated July 2026.

How much does Ultrasound-Guided Breast Needle Biopsy, Additional Site cost?

$1,568

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

Insurers have agreed to pay about $1,568 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $1,259 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$309$95.50 to $490
Facility feeThe hospital or surgery center$1,259$676 to $2,630

How much rates vary

Facilitymedian $1,259 · 10th to 90th $331 to $4,365Professionalmedian $309 · 10th to 90th $69 to $813
$100$200$500$1K$2K$5K$10Kfacility $1,259professional $309

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
$331.13
Median
$1,258.93
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$309.03
Typical High
$912.01
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$851.14
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$269.15
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$331.13
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$512.86
Typical High
$1,318.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$812.83
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$371.54
Typical High
$870.96

Where Illinois sits

The same service costs 6.6 times more in California than in Kentucky. 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

Illinois· 32nd of 51

$1,568

$309 physician + $1,259 facility

CA $5,942KY $900

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.