go back

MRI-Guided Breast Needle Biopsy

Michigan 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?

$3,878

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

Insurers have agreed to pay about $3,878 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $3,388 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$490$209 to $871
Facility feeThe hospital or surgery center$3,388$1,950 to $4,074

How much rates vary

Facilitymedian $3,388 · 10th to 90th $302 to $5,370Professionalmedian $490 · 10th to 90th $166 to $1,148
$50$200$1K$5Kfacility $3,388professional $490

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
$263.03
Median
$3,388.44
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$489.78
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$524.81
Typical High
$1,318.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$2,570.40
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$870.96
Typical High
$1,318.26
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$851.14
Typical High
$1,412.54

Where Michigan 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

Michigan· 25th of 51

$3,878

$490 physician + $3,388 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.