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MRI-Guided Breast Needle Biopsy

Indiana 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?

$5,514

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

Insurers have agreed to pay about $5,514 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $4,898 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$195 to $933
Facility feeThe hospital or surgery center$4,898$1,950 to $8,318

How much rates vary

Facilitymedian $4,898 · 10th to 90th $603 to $10,471Professionalmedian $617 · 10th to 90th $151 to $1,318
$200$500$1K$2K$5K$10Kfacility $4,898professional $617

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
$223.87
Median
$4,073.80
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$616.60
Typical High
$1,148.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$6,760.83
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$575.44
Typical High
$1,778.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$758.58
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$537.03
Typical High
$1,479.11

Where Indiana 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

Indiana· 7th of 51

$5,514

$617 physician + $4,898 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.