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Needle Core Biopsy of the Breast, by Feel

Utah 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?

$200

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $3,162 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$158$100 to $282
FacilityA hospital or hospital-owned outpatient department$3,162$2,239 to $4,169

How much rates vary

Facilitymedian $3,162 · 10th to 90th $74 to $4,571Professionalmedian $158 · 10th to 90th $74 to $347
$50$100$200$500$1K$2K$5Kfacility $3,162professional $158

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
$74.13
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$177.83
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$263.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$288.40
Typical High
$338.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$134.90
Typical High
$263.03

Where Utah 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.

Utah· 12th of 51

$200

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.