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MRI-Guided Breast Needle Biopsy

New York 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?

$5,261

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

Insurers have agreed to pay about $5,261 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $4,467 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$251 to $1,230
Facility feeThe hospital or surgery center$4,467$2,138 to $7,079

How much rates vary

Facilitymedian $4,467 · 10th to 90th $479 to $9,120Professionalmedian $794 · 10th to 90th $162 to $2,455
$100$200$500$1K$2K$5K$10Kfacility $4,467professional $794

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
$288.40
Median
$4,168.69
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$724.44
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$2,454.71
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,698.24
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$269.15
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$831.76
Typical High
$3,162.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$575.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,479.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,584.89
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,128.61
Typical High
$6,309.57
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$758.58
Typical High
$1,949.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$316.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$812.83
Typical High
$1,513.56

Where New York 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 York· 12th of 51

$5,261

$794 physician + $4,467 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.