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MRI-Guided Breast Needle Biopsy

Rhode Island 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?

$832

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $214 to $1,072.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,318 to $6,026Professionalmedian $617 · 10th to 90th $145 to $1,259
$200$500$1K$2K$5Kfacility $3,631professional $617

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
$758.58
Median
$3,630.78
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$501.19
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$660.69
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$416.87
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$645.65
Typical High
$1,621.81

Where Rhode Island sits

The same service costs 5.2 times more in California than in West Virginia. 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.

Rhode Island· 39th of 51

$832

CA $3,311WV $631

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.