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MRI-Guided Breast Needle Biopsy

Florida 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?

$4,800

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

Insurers have agreed to pay about $4,800 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $4,169 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$182 to $851
Facility feeThe hospital or surgery center$4,169$2,344 to $7,079

How much rates vary

Facilitymedian $4,169 · 10th to 90th $955 to $9,772Professionalmedian $631 · 10th to 90th $155 to $1,479
$100$200$500$1K$2K$5K$10Kfacility $4,169professional $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
$933.25
Median
$4,073.80
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$630.96
Typical High
$1,737.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$741.31
AvMed
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,511.89
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$588.84
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$707.95
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$630.96
Typical High
$1,513.56
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,772.37
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,311.31
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$645.65
Typical High
$1,548.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$562.34
Typical High
$741.31

Where Florida 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

Florida· 16th of 51

$4,800

$631 physician + $4,169 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.