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

Colorado 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?

$46,774

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $46,774 for this service. Most negotiated rates run $33,113 to $56,234.

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 $46,774 · 10th to 90th $25,119 to $72,444
$20K$50K$100K$200Kfacility $46,774

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
$22,387.21
Median
$47,863.01
Typical High
$57,543.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$46,773.51
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$29,512.09
Typical High
$54,954.09
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$29,512.09
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$34,673.69
Typical High
$52,480.75

Where Colorado 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.

Colorado· 5th of 51

$46,774

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.