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North Carolina rates for HCPCS 19085

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance

Facilitymedian $2,951 · 10th–90th $269–$7,9430%10%10th90th$2,951Professionalmedian $692 · 10th–90th $170–$2,2910%10%10th90th$692$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $3,090.30 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $645.65 / $2,089.30
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $1,348.96 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $933.25 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $537.03 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $2,344.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $281.84 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $660.69 / $1,778.28
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $4,168.69 / $4,168.69
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,165.95 / $6,165.95