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MRI-Guided Breast Needle Biopsy

Maryland 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?

$3,462

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

Insurers have agreed to pay about $3,462 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $2,630 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$832$234 to $2,042
Facility feeThe hospital or surgery center$2,630$741 to $3,388

How much rates vary

Facilitymedian $2,630 · 10th to 90th $575 to $8,128Professionalmedian $832 · 10th to 90th $174 to $3,981
$50$100$200$500$1K$2K$5Kfacility $2,630professional $832

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,630.27
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$831.76
Typical High
$4,466.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$676.08
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$562.34
Typical High
$1,659.59
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,202.26

Where Maryland 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

Maryland· 29th of 51

$3,462

$832 physician + $2,630 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.