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

Missouri 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?

$21,878

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $17,378 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,878 · 10th to 90th $13,490 to $36,308
$5K$10K$20K$50Kfacility $21,878

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
$22,908.68
Typical High
$37,153.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$36,307.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151,356.12
Median
$151,356.12
Typical High
$151,356.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$25,118.86
Typical High
$34,673.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$22,908.68
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$20,892.96
Typical High
$31,622.78

Where Missouri 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.

Missouri· 42nd of 51

$21,878

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.