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Texas rates for HCPCS 19101

Biopsy of breast; open, incisional

Facilitymedian $3,020 · 10th–90th $363$8,3180%10%10th90th$3,020Professionalmedian $302 · 10th–90th $200$5250%10%20%10th90th$302$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$645.65 / $2,818.38 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $213.80 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,786.30 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $302.00 / $478.63
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $616.60
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,754.23 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $436.52 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $354.81 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $190.55
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $436.52 / $776.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $616.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,630.78 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $501.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $363.08 / $363.08