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Needle Core Biopsy of the Breast, by Feel

West 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?

$123

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $145 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 4 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$117$69.18 to $158
FacilityA hospital or hospital-owned outpatient department$145$69.18 to $145

How much rates vary

Facilitymedian $145 · 10th to 90th $69 to $1,413Professionalmedian $117 · 10th to 90th $60 to $170
$100$200$500$1K$2K$5Kfacility $145professional $117

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
$69.18
Median
$144.54
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$169.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$213.80

Where West 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.

West Virginia· 49th of 51

$123

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.