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Breast Wire Localization, First Lesion

Washington, DC rates for HCPCS 19281

This procedure places a thin guide wire into the breast under mammography guidance to mark the exact location of an abnormal area before a surgeon removes it. It is done shortly before surgery so the surgeon can find and remove precisely the right tissue.

Facilitymedian $1,995 · 10th–90th $251$5,4950%10%10th90th$1,995Professionalmedian $204 · 10th–90th $87$4370%5%10%10th90th$204$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
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,949.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$363.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$1,258.93
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$239.88
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$234.42
Typical High
$575.44