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MRI-Guided Breast Needle Biopsy

Georgia 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 Georgia, 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$224 to $1,122
Facility feeThe hospital or surgery center$4,169$2,042 to $5,754

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,072 to $7,079Professionalmedian $631 · 10th to 90th $162 to $1,622
$200$500$1K$2K$5K$10K$20Kfacility $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
$1,202.26
Median
$5,370.32
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$630.96
Typical High
$1,659.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,019.95
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$707.95
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$524.81
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$724.44
Typical High
$1,380.38
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$1,023.29
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$851.14
Typical High
$1,698.24

Where Georgia 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

Georgia· 15th 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.