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MRI-Guided Breast Needle Biopsy

Maine 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?

$6,062

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

Insurers have agreed to pay about $6,062 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $5,370 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$692$219 to $1,023
Facility feeThe hospital or surgery center$5,370$5,370 to $5,495

How much rates vary

Facilitymedian $5,370 · 10th to 90th $5,129 to $5,495Professionalmedian $692 · 10th to 90th $178 to $1,380
$200$500$1K$2K$5Kfacility $5,370professional $692

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
$5,128.61
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$446.68
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$954.99
Typical High
$1,659.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$794.33
Typical High
$1,380.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,495.41
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$446.68
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$794.33
Typical High
$1,659.59

Where Maine 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

Maine· 5th of 51

$6,062

$692 physician + $5,370 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.