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Breast Wire Localization, First Lesion

Virginia 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 $1,349 · 10th–90th $135$5,6230%5%10th90th$1,349Professionalmedian $214 · 10th–90th $93$3890%10%10th90th$214$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$218.78
Median
$1,737.80
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$218.78
Typical High
$371.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$234.42
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$275.42
Typical High
$741.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$416.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$3,311.31
Sentara
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,162.28
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$426.58