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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 October 2026.

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

$45,709

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $32,359 to $61,660.

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 $45,709 · 10th to 90th $16,596 to $74,131
$200$1K$5K$20K$100Kfacility $45,709

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$53,703.18
Typical High
$100,000.00
Ambetter
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$45,708.82
Typical High
$74,131.02
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$39,810.72
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$48,977.88
Typical High
$75,857.76
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$54,954.09
Typical High
$85,113.80
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$45,708.82
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$37,153.52
Typical High
$81,283.05

Where California sits

The same service costs 213.8 times more in Alaska 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.

California· 8th of 51

$45,709

AK $58,884HI $275

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.