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MRI-Guided Breast Needle Biopsy

Virginia 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?

$3,270

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

Insurers have agreed to pay about $3,270 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $2,512 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$759$209 to $1,072
Facility feeThe hospital or surgery center$2,512$832 to $4,786

How much rates vary

Facilitymedian $2,512 · 10th to 90th $219 to $7,943Professionalmedian $759 · 10th to 90th $174 to $1,479
$200$500$1K$2K$5K$10Kfacility $2,512professional $759

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
$269.15
Median
$3,311.31
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$758.58
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$512.86
Typical High
$1,202.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$616.60
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$851.14
Typical High
$2,290.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$691.83
Typical High
$1,513.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$537.03
Typical High
$1,698.24

Where Virginia 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

Virginia· 32nd of 51

$3,270

$759 physician + $2,512 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.