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MRI-Guided Breast Needle Biopsy

South Carolina 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?

$4,110

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $4,110 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $3,548 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$562$195 to $955
Facility feeThe hospital or surgery center$3,548$1,230 to $7,586

How much rates vary

Facilitymedian $3,548 · 10th to 90th $245 to $14,791Professionalmedian $562 · 10th to 90th $178 to $1,230
$50$200$1K$5K$20Kfacility $3,548professional $562

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
$234.42
Median
$3,890.45
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$562.34
Typical High
$1,230.27
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,388.44
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$478.63
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$588.84
Typical High
$1,698.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$588.84
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$6,309.57
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$660.69
Typical High
$1,659.59

Where South Carolina 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

South Carolina· 23rd of 51

$4,110

$562 physician + $3,548 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.