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

Virginia 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?

$28,840

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $24,547 to $37,154.

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 $28,840 · 10th to 90th $19,055 to $42,658
$10K$20K$50Kfacility $28,840

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
$26,915.35
Median
$33,113.11
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$36,307.81
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$33,113.11
Typical High
$45,708.82
Sentara
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$26,915.35
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$26,915.35
Typical High
$52,480.75

Where Virginia 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.

Virginia· 27th of 51

$28,840

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.