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

Kentucky 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?

$25,119

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $18,621 to $28,184.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25,119 · 10th to 90th $15,488 to $33,113
$10K$20K$50Kfacility $25,119

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
$18,620.87
Median
$28,183.83
Typical High
$46,773.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$24,547.09
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$26,302.68
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$25,118.86
Typical High
$33,113.11

Where Kentucky 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.

Kentucky· 32nd of 51

$25,119

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.