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

Pennsylvania rates for MS-DRG 584

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

Rates data updated July 2026.

Facilitymedian $31,623 · 10th–90th $17,783$44,6680%10%10th90th$31,623$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$32,359.37
Typical High
$44,668.36
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$32,359.37
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$34,673.69
Typical High
$47,863.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$45,708.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$35,481.34
Typical High
$43,651.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$51,286.14
Typical High
$87,096.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$31,622.78
Typical High
$44,668.36
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$19,054.61
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$28,183.83
Typical High
$50,118.72