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MRI-Guided Breast Needle Biopsy

Hawaii 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 Hawaii, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $178 to $1,778.

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 $4,467 · 10th to 90th $1,778 to $4,467Professionalmedian $832 · 10th to 90th $145 to $5,495
$50$100$200$500$1K$2K$5Kfacility $4,467professional $832

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
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,000.00
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$794.33
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$812.83
Typical High
$1,412.54
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$3,801.89
Typical High
$5,888.44

Where Hawaii 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.

Hawaii· 41st 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.