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MRI-Guided Breast Needle Biopsy

Idaho 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?

$2,591

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

Insurers have agreed to pay about $2,591 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $1,778 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$813$251 to $1,230
Facility feeThe hospital or surgery center$1,778$661 to $3,467

How much rates vary

Facilitymedian $1,778 · 10th to 90th $288 to $5,248Professionalmedian $813 · 10th to 90th $195 to $1,349
$200$500$1K$2K$5Kfacility $1,778professional $813

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
$331.13
Median
$2,884.03
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$933.25
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,513.56
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,148.15
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$371.54
Typical High
$1,513.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$741.31
Typical High
$1,698.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$5,248.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$1,548.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$4,073.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$758.58
Typical High
$1,659.59

Where Idaho 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

Idaho· 41st of 51

$2,591

$813 physician + $1,778 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.