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MRI-Guided Breast Needle Biopsy

New Jersey 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?

$6,580

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,580 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $5,888 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$692$174 to $1,000
Facility feeThe hospital or surgery center$5,888$4,169 to $8,318

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,514 to $10,000Professionalmedian $692 · 10th to 90th $155 to $1,950
$200$500$1K$2K$5K$10Kfacility $5,888professional $692

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
$1,584.89
Median
$6,025.60
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$691.83
Typical High
$2,238.72
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$977.24
Typical High
$5,248.07
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$223.87
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$660.69
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$851.14
Typical High
$1,380.38
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,248.07
Typical High
$7,585.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$851.14
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$467.74
Typical High
$1,659.59

Where New Jersey 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

New Jersey· 4th of 51

$6,580

$692 physician + $5,888 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.