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MRI-Guided Breast Needle Biopsy

Colorado 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?

$5,417

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

Insurers have agreed to pay about $5,417 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $4,786 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$631$191 to $912
Facility feeThe hospital or surgery center$4,786$2,042 to $6,918

How much rates vary

Facilitymedian $4,786 · 10th to 90th $759 to $8,913Professionalmedian $631 · 10th to 90th $170 to $1,549
$200$500$1K$2K$5K$10Kfacility $4,786professional $631

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
$363.08
Median
$3,890.45
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$691.83
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$1,659.59
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$691.83
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,047.13
Typical High
$2,511.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$1,584.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,388.44
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$891.25
Typical High
$1,737.80

Where Colorado 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

Colorado· 8th of 51

$5,417

$631 physician + $4,786 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.