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Additional-Site Breast Biopsy With MRI Guidance

Montana 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?

$1,589

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

Insurers have agreed to pay about $1,589 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $1,000 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$141 to $1,230
Facility feeThe hospital or surgery center$1,000$151 to $1,072

How much rates vary

Facilitymedian $1,000 · 10th to 90th $145 to $1,585Professionalmedian $589 · 10th to 90th $85 to $3,467
$100$1K$10K$100Kfacility $1,000professional $589

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
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$741.31
Typical High
$3,548.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$1,288.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$1,288.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$1,445.44

Where Montana sits

The same service costs 16.4 times more in New Hampshire than in Wyoming. 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

Montana· 38th of 50

$1,589

$589 physician + $1,000 facility

NH $9,152WY $558

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.