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Breast Biopsy, Excision or Other Procedures (without CC/MCC)

California rates for MS-DRG 585

Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC

Rates data updated July 2026.

How much does Breast Biopsy, Excision or Other Procedures (without CC/MCC) cost?

$51,286

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $46,774 to $57,544.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $51,286 · 10th to 90th $25,704 to $69,183
$500$2K$10K$50Kfacility $51,286

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
$35,481.34
Median
$53,703.18
Typical High
$69,183.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$53,703.18
Typical High
$69,183.10
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$33,113.11
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$39,810.72
Typical High
$67,608.30
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$48,977.88
Typical High
$69,183.10
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$35,481.34
Typical High
$75,857.76

Where California sits

The same service costs 3.3 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.

California· 1st of 51

$51,286

CA $51,286NM $15,488

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.