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MRI-Guided Breast Needle Biopsy

Massachusetts 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?

$2,929

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

Insurers have agreed to pay about $2,929 for this procedure. That total is two separate charges: $741 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$229 to $1,230
Facility feeThe hospital or surgery center$2,188$275 to $3,467

How much rates vary

Facilitymedian $2,188 · 10th to 90th $200 to $4,677Professionalmedian $741 · 10th to 90th $166 to $1,905
$100$200$500$1K$2K$5K$10Kfacility $2,188professional $741

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
$2,818.38
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$691.83
Typical High
$3,467.37
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,344.23
Typical High
$4,677.35
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$616.60
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$741.31
Typical High
$2,187.76
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,445.44
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$741.31
Typical High
$1,862.09
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,238.72
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,344.23
Typical High
$4,677.35
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$616.60
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$851.14
Typical High
$1,995.26

Where Massachusetts 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

Massachusetts· 39th of 51

$2,929

$741 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.