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Needle Core Biopsy of the Breast, by Feel

Virginia 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?

$158

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $1,820 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 8 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$145$79.43 to $178
FacilityA hospital or hospital-owned outpatient department$1,820$120 to $4,266

How much rates vary

Facilitymedian $1,820 · 10th to 90th $79 to $7,079Professionalmedian $145 · 10th to 90th $68 to $339
$50$200$1K$5Kfacility $1,820professional $145

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
$120.23
Median
$2,630.27
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$141.25
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$190.55
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$269.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$3,630.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$125.89
Typical High
$245.47

Where Virginia 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.

Virginia· 27th of 51

$158

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.