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MRI-Guided Breast Needle Biopsy

Alabama rates for HCPCS 19085

This procedure removes a small tissue sample from a breast lesion that was found on MRI, using MRI imaging in real time to guide the needle to the correct spot. It covers the first area sampled this way in a given visit, and a small marker may be left at the site to help locate it later.

Rates data updated July 2026.

How much does MRI-Guided Breast Needle Biopsy cost?

$2,584

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

Insurers have agreed to pay about $2,584 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $1,995 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$589$174 to $759
Facility feeThe hospital or surgery center$1,995$1,148 to $2,630

How much rates vary

Facilitymedian $1,995 · 10th to 90th $676 to $3,388Professionalmedian $589 · 10th to 90th $155 to $1,000
$200$500$1K$2K$5Kfacility $1,995professional $589

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
$676.08
Median
$1,258.93
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$588.84
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$891.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$457.09
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,778.28
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$660.69
Typical High
$1,348.96

Where Alabama sits

The same service costs 5.7 times more in Nebraska than in Delaware. 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

Alabama· 42nd of 51

$2,584

$589 physician + $1,995 facility

NE $7,390DE $1,304

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.