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Washington 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 $1,349 · 10th–90th $166–$7,9430%10%10th90th$1,349Professionalmedian $550 · 10th–90th $81–$1,9950%5%10th90th$550$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$165.96 / $1,949.84 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $549.54 / $2,818.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $288.40 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $724.44 / $1,778.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $263.03 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $275.42 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $54.95
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,122.02 / $1,479.11
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $851.14 / $851.14
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $794.33 / $1,513.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $288.40 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $660.69 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $549.54 / $1,621.81
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $151.36 / $812.83