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

Texas 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?

$23,442

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $16,218 to $31,623.

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 $23,442 · 10th to 90th $10,715 to $44,668
$10K$20K$50Kfacility $23,442

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
$18,620.87
Median
$27,542.29
Typical High
$45,708.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$18,197.01
Typical High
$32,359.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$30,199.52
Typical High
$53,703.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$24,547.09
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$19,498.45
Typical High
$44,668.36

Where Texas 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.

Texas· 36th of 51

$23,442

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.