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Nationwide rates for HCPCS 19085

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance

Facilitymedian $3,890 · 10th–90th $741–$8,9130%10%20%10th90th$3,890Professionalmedian $646 · 10th–90th $162–$1,9500%10%20%10th90th$646$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $3,890.45 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $630.96 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $5,011.87 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $794.33 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $2,754.23 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $724.44 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,691.53 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $707.95 / $1,698.24

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