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MRI-Guided Breast Needle Biopsy

Iowa 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?

$4,806

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

Insurers have agreed to pay about $4,806 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $3,631 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$1,175$437 to $3,236
Facility feeThe hospital or surgery center$3,631$2,188 to $5,129

How much rates vary

Facilitymedian $3,631 · 10th to 90th $537 to $6,761Professionalmedian $1,175 · 10th to 90th $170 to $5,248
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $1,175

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
$537.03
Median
$3,715.35
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$1,174.90
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,584.89
Typical High
$2,238.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,071.52
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,995.26
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,737.80
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,778.28
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$2,344.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$371.54
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$794.33
Typical High
$2,344.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$1,584.89

Where Iowa 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

Iowa· 14th of 51

$4,806

$1,175 physician + $3,631 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.