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Breast Wire Localization, First Lesion

Utah 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?

$2,943

Typical total for the visit. In Utah, July 2026.

Insurers have agreed to pay about $2,943 for this procedure. That total is two separate charges: $251 to the doctor who performs it, and $2,692 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$251$155 to $525
Facility feeThe hospital or surgery center$2,692$1,413 to $3,715

How much rates vary

Facilitymedian $2,692 · 10th to 90th $251 to $4,571Professionalmedian $251 · 10th to 90th $102 to $550
$100$200$500$1K$2K$5Kfacility $2,692professional $251

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
$251.19
Median
$2,511.89
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$251.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$407.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$426.58
Typical High
$501.19
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$323.59
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$426.58

Where Utah sits

The same service costs 12.0 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Utah· 15th of 51

$2,943

$251 physician + $2,692 facility

NJ $4,676MD $389

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.