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

Illinois 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?

$23,988

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $19,055 to $30,200.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $457 to $37,154
$200$1K$5K$20Kfacility $23,988

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
$20,417.38
Median
$26,302.68
Typical High
$37,153.52
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$24,547.09
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$23,442.29
Typical High
$37,153.52
Hally Health
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$263.03
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$28,840.32
Typical High
$43,651.58

Where Illinois 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.

Illinois· 41st of 51

$23,988

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.