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

Texas 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?

$25,704

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $18,197 to $35,481.

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 $25,704 · 10th to 90th $12,023 to $50,119
$10K$20K$50Kfacility $25,704

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
$20,417.38
Median
$30,902.95
Typical High
$50,118.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$20,417.38
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$33,113.11
Typical High
$60,255.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$77,624.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$26,915.35
Typical High
$64,565.42
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$21,877.62
Typical High
$53,703.18

Where Texas 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.

Texas· 38th of 51

$25,704

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.