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MRI-Guided Breast Needle Biopsy

Washington, DC 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?

$832

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $186 to $2,089.

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.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $417 to $7,586Professionalmedian $776 · 10th to 90th $174 to $2,042
$50$200$1K$5Kfacility $3,090professional $776

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
$416.87
Median
$3,090.30
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$446.68
Typical High
$2,041.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$2,041.74
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$741.31
Typical High
$2,238.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$812.83
Typical High
$1,995.26

Where Washington, DC sits

The same service costs 5.2 times more in California than in West Virginia. 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.

Washington, DC· 40th of 51

$832

CA $3,311WV $631

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.