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MRI-Guided Breast Needle Biopsy

South Dakota 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?

$4,181

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

Insurers have agreed to pay about $4,181 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $2,951 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$407 to $2,455
Facility feeThe hospital or surgery center$2,951$1,995 to $2,951

How much rates vary

Facilitymedian $2,951 · 10th to 90th $407 to $3,548Professionalmedian $1,230 · 10th to 90th $178 to $3,981
$200$500$1K$2Kfacility $2,951professional $1,230

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
$2,951.21
Median
$2,951.21
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$2,454.71
Typical High
$3,981.07
Avera
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,258.93
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$933.25
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,737.80
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,905.46
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,174.90
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$1,659.59

Where South Dakota 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 Dakota· 22nd of 51

$4,181

$1,230 physician + $2,951 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.