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MRI-Guided Breast Needle Biopsy

Missouri 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?

$3,013

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

Insurers have agreed to pay about $3,013 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $2,512 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$501$195 to $912
Facility feeThe hospital or surgery center$2,512$1,318 to $3,802

How much rates vary

Facilitymedian $2,512 · 10th to 90th $661 to $5,623Professionalmedian $501 · 10th to 90th $155 to $1,585
$200$500$1K$2K$5Kfacility $2,512professional $501

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
$676.08
Median
$3,467.37
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$501.19
Typical High
$1,949.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$676.08
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$707.95
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$436.52
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$831.76
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$724.44
Typical High
$1,445.44

Where Missouri 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

Missouri· 34th of 51

$3,013

$501 physician + $2,512 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.