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

North Carolina 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?

$26,915

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $20,417 to $33,884.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,915 · 10th to 90th $17,783 to $41,687
$5K$10K$20K$50Kfacility $26,915

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
$19,054.61
Median
$24,547.09
Typical High
$41,686.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$24,547.09
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$32,359.37
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$32,359.37
Typical High
$48,977.88

Where North Carolina 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.

North Carolina· 35th of 51

$26,915

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.