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Breast Wire Localization, First Lesion

Maine 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.

Rates data updated July 2026.

How much does Breast Wire Localization, First Lesion cost?

$219

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $120 to $347.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $646 · 10th to 90th $105 to $11,749Professionalmedian $200 · 10th to 90th $91 to $398
$100$500$2K$10Kfacility $646professional $200

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
$104.71
Median
$645.65
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$199.53
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$288.40
Typical High
$537.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$457.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$645.65
Typical High
$11,748.98
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$199.53
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$251.19
Typical High
$489.78

Where Maine sits

The same service costs 5.1 times more in California than in Hawaii. 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.

Maine· 46th of 51

$219

CA $955HI $186

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.