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

Rhode Island 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?

$30,903

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $16,218 to $45,709.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,903 · 10th to 90th $9,772 to $67,608
$10K$20K$50Kfacility $30,903

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$45,708.82
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$40,738.03
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,000.00
Typical High
$27,542.29

Where Rhode Island 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.

Rhode Island· 21st of 51

$30,903

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.