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MRI-Guided Breast Needle Biopsy

Arizona 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?

$4,389

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

Insurers have agreed to pay about $4,389 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $3,631 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$204 to $1,202
Facility feeThe hospital or surgery center$3,631$2,042 to $5,888

How much rates vary

Facilitymedian $3,631 · 10th to 90th $832 to $7,413Professionalmedian $759 · 10th to 90th $158 to $3,467
$200$500$1K$2K$5Kfacility $3,631professional $759

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
$2,089.30
Median
$4,677.35
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$724.44
Typical High
$4,365.16
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,398.83
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$602.56
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$691.83
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$758.58
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$676.08
Typical High
$1,412.54

Where Arizona 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

Arizona· 18th of 51

$4,389

$759 physician + $3,631 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.