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

Utah 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?

$31,623

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $27,542 to $38,905.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31,623 · 10th to 90th $21,878 to $46,774
$20K$50Kfacility $31,623

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
$25,703.96
Median
$33,884.42
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$40,738.03
Typical High
$56,234.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$31,622.78
Typical High
$38,904.51
Select Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$17,378.01
Typical High
$47,863.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$25,118.86
Typical High
$31,622.78

Where Utah 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.

Utah· 19th of 51

$31,623

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.