go back

MRI-Guided Breast Needle Biopsy

Ohio 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?

$4,595

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

Insurers have agreed to pay about $4,595 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $4,169 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$219 to $1,047
Facility feeThe hospital or surgery center$4,169$2,399 to $6,918

How much rates vary

Facilitymedian $4,169 · 10th to 90th $631 to $10,715Professionalmedian $427 · 10th to 90th $162 to $1,660
$50$200$1K$5Kfacility $4,169professional $427

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
$602.56
Median
$4,677.35
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$426.58
Typical High
$4,168.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$562.34
Typical High
$1,445.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$177.83
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$562.34
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$4,897.79
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$524.81
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$144.54
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$707.95
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$630.96
Typical High
$1,445.44

Where Ohio 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

Ohio· 17th of 51

$4,595

$427 physician + $4,169 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.