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

Ohio 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?

$26,303

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $21,380 to $33,884.

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 $26,303 · 10th to 90th $16,596 to $38,019
$20K$50Kfacility $26,303

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
$22,387.21
Median
$30,199.52
Typical High
$38,018.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$23,442.29
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$30,199.52
Typical High
$43,651.58
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$27,542.29
Typical High
$44,668.36
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$15,135.61
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$26,915.35
Typical High
$41,686.94

Where Ohio 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.

Ohio· 31st of 51

$26,303

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.