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MRI-Guided Breast Needle Biopsy

Tennessee 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?

$2,936

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

Insurers have agreed to pay about $2,936 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $2,399 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$209 to $1,023
Facility feeThe hospital or surgery center$2,399$1,413 to $4,074

How much rates vary

Facilitymedian $2,399 · 10th to 90th $708 to $4,365Professionalmedian $537 · 10th to 90th $174 to $1,380
$200$500$1K$2K$5K$10Kfacility $2,399professional $537

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
$707.95
Median
$2,630.27
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$524.81
Typical High
$1,230.27
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,238.72
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$616.60
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$691.83
Typical High
$1,659.59
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$4,168.69
Typical High
$4,168.69
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,165.95
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,187.76
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$707.95
Typical High
$1,698.24

Where Tennessee 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

Tennessee· 38th of 51

$2,936

$537 physician + $2,399 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.