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MRI-Guided Breast Needle Biopsy

Illinois 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?

$2,980

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

Insurers have agreed to pay about $2,980 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $2,512 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$468$224 to $933
Facility feeThe hospital or surgery center$2,512$1,230 to $4,677

How much rates vary

Facilitymedian $2,512 · 10th to 90th $479 to $6,457Professionalmedian $468 · 10th to 90th $162 to $1,318
$200$500$1K$2K$5K$10K$20Kfacility $2,512professional $468

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
$346.74
Median
$2,511.89
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$407.38
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,398.83
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$616.60
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$562.34
Typical High
$1,348.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$1,071.52
Typical High
$2,630.27
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$741.31
Typical High
$1,659.59

Where Illinois 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

Illinois· 35th of 51

$2,980

$468 physician + $2,512 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.