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MRI-Guided Breast Needle Biopsy

Nebraska 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?

$7,390

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

Insurers have agreed to pay about $7,390 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $6,457 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$933$437 to $2,291
Facility feeThe hospital or surgery center$6,457$2,692 to $9,772

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,413 to $13,490Professionalmedian $933 · 10th to 90th $234 to $4,467
$200$500$1K$2K$5K$10K$20Kfacility $6,457professional $933

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
$1,905.46
Median
$8,317.64
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$933.25
Typical High
$4,570.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$616.60
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,023.29
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,096.48
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,584.89
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$2,511.89
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,096.48
Typical High
$2,137.96

Where Nebraska 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

Nebraska· 1st of 51

$7,390

$933 physician + $6,457 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.