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Additional-Site Breast Biopsy With MRI Guidance

Pennsylvania 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?

$2,463

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

Insurers have agreed to pay about $2,463 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $1,995 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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$87.10 to $741
Facility feeThe hospital or surgery center$1,995$933 to $3,715

How much rates vary

Facilitymedian $1,995 · 10th to 90th $479 to $6,607Professionalmedian $468 · 10th to 90th $78 to $1,820
$100$200$500$1K$2K$5Kfacility $1,995professional $468

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
$478.63
Median
$1,949.84
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$467.74
Typical High
$1,819.70
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,890.45
Typical High
$11,748.98
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$933.25
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$537.03
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$954.99
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$776.25
Typical High
$1,096.48
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,187.76
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$5,623.41
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,949.84
Typical High
$6,606.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$537.03
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$954.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$831.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$562.34
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$338.84
Typical High
$1,148.15

Where Pennsylvania 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

Pennsylvania· 20th of 50

$2,463

$468 physician + $1,995 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.