go back

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

Illinois 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?

$22,387

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $18,197 to $26,915.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,387 · 10th to 90th $447 to $32,359
$200$1K$5K$20Kfacility $22,387

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
$19,054.61
Median
$25,118.86
Typical High
$32,359.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$21,379.62
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$21,379.62
Typical High
$38,018.94
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$23,442.29
Typical High
$34,673.69

Where Illinois 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.

Illinois· 40th of 51

$22,387

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.