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

New Jersey 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?

$40,738

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $29,512 to $51,286.

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 $40,738 · 10th to 90th $22,387 to $61,660
$10K$20K$50K$100Kfacility $40,738

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
$26,915.35
Median
$45,708.82
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$46,773.51
Typical High
$61,659.50
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$31,622.78
Typical High
$48,977.88
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$19,054.61
Typical High
$53,703.18

Where New Jersey 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.

New Jersey· 11th of 51

$40,738

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.