go back

MRI-Guided Breast Needle Biopsy

Kansas 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?

$3,173

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

Insurers have agreed to pay about $3,173 for this procedure. That total is two separate charges: $661 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$224 to $1,148
Facility feeThe hospital or surgery center$2,512$1,445 to $4,571

How much rates vary

Facilitymedian $2,512 · 10th to 90th $316 to $7,943Professionalmedian $661 · 10th to 90th $166 to $1,318
$200$500$1K$2K$5K$10Kfacility $2,512professional $661

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
$831.76
Median
$3,162.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$660.69
Typical High
$1,230.27
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,905.46
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$724.44
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$831.76
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,258.93
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$724.44
Typical High
$1,479.11

Where Kansas 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

Kansas· 33rd of 51

$3,173

$661 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.