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MRI-Guided Breast Needle Biopsy

West 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?

$5,058

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

Insurers have agreed to pay about $5,058 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $4,677 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$209 to $708
Facility feeThe hospital or surgery center$4,677$3,631 to $5,012

How much rates vary

Facilitymedian $4,677 · 10th to 90th $708 to $13,490Professionalmedian $380 · 10th to 90th $170 to $1,072
$200$500$1K$2K$5K$10Kfacility $4,677professional $380

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
$4,677.35
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$380.19
Typical High
$933.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$229.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$724.44
Typical High
$4,073.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,073.80
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$537.03
Typical High
$1,584.89

Where West 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

West Virginia· 13th of 51

$5,058

$380 physician + $4,677 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.