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Additional-Site Breast Biopsy With MRI Guidance

Washington, DC rates for HCPCS 19086

This is an add-on service for performing a needle biopsy of an additional area of concern in the breast, using MRI imaging to guide the needle, during the same visit as a first MRI-guided breast biopsy. It applies when more than one suspicious area needs to be sampled in one session. It is always performed and reported together with the first biopsy site from the same visit, not on its own.

Rates data updated July 2026.

How much does Additional-Site Breast Biopsy With MRI Guidance cost?

$646

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $646 for this service. Most negotiated rates run $105 to $1,622.

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.

How much rates vary

Facilitymedian $1,585 · 10th to 90th $214 to $4,074Professionalmedian $617 · 10th to 90th $87 to $1,622
$100$200$500$1K$2K$5K$10Kfacility $1,585professional $617

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
$213.80
Median
$1,584.89
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$616.60
Typical High
$1,621.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$630.96
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$489.78
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$549.54
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$645.65
Typical High
$1,584.89

Where Washington, DC sits

The same service costs 12.9 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.

Washington, DC· 26th of 51

$646

CA $2,455WV $191

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.