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MRI-Guided Breast Needle Biopsy

Utah 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?

$5,403

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

Insurers have agreed to pay about $5,403 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $4,571 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$832$224 to $1,660
Facility feeThe hospital or surgery center$4,571$3,162 to $7,413

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,023 to $7,943Professionalmedian $832 · 10th to 90th $174 to $2,042
$200$500$1K$2K$5K$10Kfacility $4,571professional $832

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
$1,023.29
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$891.25
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$831.76
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$1,479.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$1,513.56
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$1,000.00
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$676.08
Typical High
$1,659.59

Where Utah 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

Utah· 9th of 51

$5,403

$832 physician + $4,571 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.