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Kentucky rates for HCPCS 19085

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance

Facilitymedian $2,344 · 10th–90th $288–$8,3180%5%10%10th90th$2,344Professionalmedian $617 · 10th–90th $158–$1,2880%10%10th90th$617$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $2,089.30 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $616.60 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,398.83 / $4,365.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $645.65 / $1,023.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $269.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $229.09 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $1,096.48 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,137.96 / $4,168.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $660.69 / $1,513.56