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

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $25,704 to $58,884.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41,687 · 10th to 90th $15,136 to $87,096
$10K$20K$50K$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
$23,442.29
Median
$45,708.82
Typical High
$87,096.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$42,657.95
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$33,884.42
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$44,668.36
Typical High
$75,857.76

Where South Carolina 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.

South Carolina· 9th 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.