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Needle Core Biopsy of the Breast, by Feel

South Dakota rates for HCPCS 19100

A sample of breast tissue is taken with a hollow needle passed through the skin, so it can be examined under a microscope. The doctor locates the lump by feel and guides the needle by hand rather than using a scan to steer it.

Rates data updated July 2026.

How much does Needle Core Biopsy of the Breast, by Feel cost?

$151

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $195 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$126 to $257
FacilityA hospital or hospital-owned outpatient department$195$126 to $2,291

How much rates vary

Facilitymedian $195 · 10th to 90th $78 to $4,365Professionalmedian $148 · 10th to 90th $62 to $339
$100$200$500$1K$2Kfacility $195professional $148

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$125.89
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$371.54

Where South Dakota sits

The same service costs 10.5 times more in California than in Rhode Island. 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.

South Dakota· 35th of 51

$151

CA $1,230RI $117

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.