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Breast Biopsy, Excision or Other Procedures (with CC/MCC)

California rates for MS-DRG 584

Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC

Rates data updated July 2026.

How much does Breast Biopsy, Excision or Other Procedures (with CC/MCC) cost?

$60,256

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $60,256 for this service. Most negotiated rates run $51,286 to $67,608.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60,256 · 10th to 90th $28,840 to $77,625
$500$2K$10K$50Kfacility $60,256

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
$38,018.94
Median
$60,255.96
Typical High
$81,283.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$60,255.96
Typical High
$77,624.71
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$33,884.42
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$43,651.58
Typical High
$75,857.76
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$77,624.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$54,954.09
Typical High
$75,857.76
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$39,810.72
Typical High
$83,176.38

Where California sits

The same service costs 3.5 times more in California than in New Mexico. 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.

California· 1st of 51

$60,256

CA $60,256NM $17,378

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.