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

Washington 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?

$42,658

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $33,884 to $52,481.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42,658 · 10th to 90th $25,119 to $64,565
$10K$20K$50K$100Kfacility $42,658

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
$32,359.37
Median
$48,977.88
Typical High
$79,432.82
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$38,018.94
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$41,686.94
Typical High
$63,095.73
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$30,199.52
Typical High
$35,481.34
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$37,153.52
Typical High
$57,543.99
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$38,904.51
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$38,018.94
Typical High
$56,234.13

Where Washington 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.

Washington· 8th of 51

$42,658

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.