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MRI-Guided Breast Needle Biopsy

Connecticut 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?

$6,941

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

Insurers have agreed to pay about $6,941 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $6,310 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$631$234 to $1,259
Facility feeThe hospital or surgery center$6,310$4,677 to $8,511

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,715 to $9,550Professionalmedian $631 · 10th to 90th $158 to $1,862
$200$500$1K$2K$5K$10Kfacility $6,310professional $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
$3,801.89
Median
$6,760.83
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$630.96
Typical High
$2,187.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$691.83
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$1,096.48
Typical High
$2,454.71
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,454.71
Typical High
$3,019.95
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,801.89
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$794.33
Typical High
$1,698.24

Where Connecticut 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

Connecticut· 2nd of 51

$6,941

$631 physician + $6,310 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.