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

Oregon 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?

$41,687

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $32,359 to $52,481.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41,687 · 10th to 90th $23,988 to $60,256
$200$1K$5K$20K$100Kfacility $41,687

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
$32,359.37
Median
$52,480.75
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$46,773.51
Typical High
$72,443.60
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$38,904.51
Typical High
$61,659.50
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$28,840.32
Typical High
$35,481.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$41,686.94
Typical High
$64,565.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$36,307.81
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$43,651.58
Typical High
$52,480.75

Where Oregon 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.

Oregon· 10th of 51

$41,687

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.