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

New Mexico 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?

$15,488

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $9,772 to $24,547.

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 $15,488 · 10th to 90th $7,586 to $33,113
$5K$10K$20K$50Kfacility $15,488

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
$9,549.93
Median
$16,218.10
Typical High
$44,668.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$14,791.08
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$16,982.44
Typical High
$30,902.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$16,982.44
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$21,379.62
Typical High
$27,542.29

Where New Mexico 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 Mexico· 51st of 51

$15,488

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.