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Tennessee rates for HCPCS 19086

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)

Facilitymedian $1,380 · 10th–90th $170–$2,6920%10%10th90th$1,380Professionalmedian $245 · 10th–90th $78–$1,0470%5%10%10th90th$245$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,819.70 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $234.42 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $147.91 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $281.84 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $549.54 / $1,318.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,778.28 / $1,778.28
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,786.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $812.83 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $575.44 / $1,348.96