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MRI-Guided Breast Needle Biopsy

North Carolina 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?

$2,964

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,964 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $2,188 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$776$234 to $1,413
Facility feeThe hospital or surgery center$2,188$776 to $4,074

How much rates vary

Facilitymedian $2,188 · 10th to 90th $214 to $7,943Professionalmedian $776 · 10th to 90th $178 to $2,344
$200$500$1K$2K$5Kfacility $2,188professional $776

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
$239.88
Median
$2,511.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$776.25
Typical High
$2,290.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,348.96
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$851.14
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$537.03
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$630.96
Typical High
$1,778.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,168.69
Typical High
$4,168.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,165.95
Typical High
$6,165.95

Where North Carolina 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

North Carolina· 36th of 51

$2,964

$776 physician + $2,188 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.