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

North Carolina 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?

$23,988

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $18,621 to $30,200.

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 $23,988 · 10th to 90th $16,218 to $38,019
$5K$10K$20K$50Kfacility $23,988

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
$17,378.01
Median
$21,877.62
Typical High
$38,018.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$21,877.62
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$29,512.09
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$26,915.35
Typical High
$44,668.36

Where North Carolina 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.

North Carolina· 33rd of 51

$23,988

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.