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MRI-Guided Breast Needle Biopsy

Montana 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?

$2,243

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

Insurers have agreed to pay about $2,243 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $1,288 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$955$282 to $1,413
Facility feeThe hospital or surgery center$1,288$316 to $1,622

How much rates vary

Facilitymedian $1,288 · 10th to 90th $302 to $3,388Professionalmedian $955 · 10th to 90th $178 to $4,467
$200$1K$5K$20K$100Kfacility $1,288professional $955

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
$2,511.89
Median
$3,388.44
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$954.99
Typical High
$4,466.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$1,698.24
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,288.25
Typical High
$1,698.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$1,288.25
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$338.84
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$758.58
Typical High
$1,819.70

Where Montana 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

Montana· 47th of 51

$2,243

$955 physician + $1,288 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.