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MRI-Guided Breast Needle Biopsy

Vermont 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?

$794

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $224 to $1,175.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $5,129 to $5,888Professionalmedian $661 · 10th to 90th $224 to $1,288
$200$500$1K$2K$5Kfacility $5,129professional $661

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$371.54
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$1,047.13
Typical High
$2,398.83

Where Vermont sits

The same service costs 5.2 times more in California than in West Virginia. 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.

Vermont· 44th of 51

$794

CA $3,311WV $631

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.