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

Ohio 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?

$31,623

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $25,119 to $38,905.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31,623 · 10th to 90th $19,953 to $45,709
$10K$20K$50Kfacility $31,623

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
$19,952.62
Median
$30,199.52
Typical High
$43,651.58
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$29,512.09
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$35,481.34
Typical High
$45,708.82
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$37,153.52
Typical High
$44,668.36
SummaCare
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$19,054.61
Typical High
$26,302.68
United
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$35,481.34
Typical High
$47,863.01

Where Ohio 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.

Ohio· 29th of 51

$31,623

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.