go back

MRI-Guided Breast Needle Biopsy

Kentucky 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?

$2,804

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

Insurers have agreed to pay about $2,804 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $2,188 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$617$178 to $851
Facility feeThe hospital or surgery center$2,188$1,175 to $3,631

How much rates vary

Facilitymedian $2,188 · 10th to 90th $288 to $5,129Professionalmedian $617 · 10th to 90th $155 to $1,202
$200$500$1K$2K$5K$10Kfacility $2,188professional $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
$977.24
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$616.60
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$645.65
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$269.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$1,096.48
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,137.96
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$724.44
Typical High
$1,513.56

Where Kentucky 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

Kentucky· 40th of 51

$2,804

$617 physician + $2,188 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.