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Breast biopsy (needle): what insurers pay

Needle biopsy of a breast lump with a marker clip, ultrasound-guided (19083) or stereotactic (19081). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 19083: Breast Biopsy (Needle)

1412 hospitals in 83 markets. National Medicare rate $1,687, surgery center $742.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)21$1,586$2,050$2,536$801–$4,465
Alaska (statewide)4———$1,833–$5,941
Arizona (statewide)12$1,902$2,509$3,070$1,048–$6,354
Arkansas (statewide)7$1,730$1,774$2,108$1,467–$2,239
Atlanta GA10$3,904$4,140$4,140$3,792–$4,880
Austin TX13$1,144$3,248$3,490$1,144–$4,208
Boston MA16$1,714$2,269$2,707$1,238–$3,456
California (statewide)77$2,384$4,462$6,131$1,233–$9,379
Charlotte NC6$1,926$1,926$1,926$1,900–$6,830
Chicago IL10$2,872$3,561$4,141$1,694–$4,955
Cleveland OH11$3,086$3,281$3,689$2,475–$4,158
Colorado (statewide)18$2,272$3,356$5,448$1,415–$7,246
Columbus OH2———$5,940–$5,940
Connecticut (statewide)3———$2,165–$6,881
Dallas-Fort Worth TX14$2,481$3,134$3,979$2,480–$5,330
Delaware (statewide)1———$2,940–$2,940
Denver CO15$2,332$4,108$4,369$1,528–$5,678
Detroit MI15$885$1,083$1,366$855–$4,808
Florida (statewide)65$2,778$3,334$3,818$945–$10,568
Georgia (statewide)48$2,624$3,600$4,184$1,066–$6,079
Hawaii (statewide)6$2,391$2,450$3,350$1,909–$3,774
Houston TX19$2,650$2,670$3,379$2,434–$5,265
Idaho (statewide)17$1,620$2,502$4,115$1,116–$4,912
Illinois (statewide)39$2,206$2,650$3,752$1,222–$9,653
Indiana (statewide)52$2,738$3,610$5,962$1,592–$8,700
Indianapolis IN7$2,967$3,635$5,435$1,747–$7,412
Iowa (statewide)33$2,028$2,721$2,906$821–$6,276
Kansas (statewide)31$1,640$2,188$2,858$803–$5,941
Kentucky (statewide)19$1,656$2,044$2,674$1,020–$4,473
Las Vegas NV1———$2,136–$2,136
Los Angeles CA17$3,863$4,036$5,015$2,963–$13,680
Louisiana (statewide)21$1,373$1,656$2,191$952–$4,411
Maine (statewide)17$6,639$7,454$7,708$1,630–$9,691
Maryland (statewide)1———$1,222–$1,222
Massachusetts (statewide)11$1,702$2,033$2,286$1,573–$2,971
Miami-Fort Lauderdale FL7$1,380$2,196$2,308$1,380–$3,038
Michigan (statewide)35$1,320$1,646$2,658$855–$3,172
Minneapolis-St. Paul MN15$2,599$2,898$3,095$2,145–$3,813
Minnesota (statewide)18$2,228$3,326$4,975$1,211–$7,165
Mississippi (statewide)23$1,889$2,404$2,806$1,474–$5,170
Missouri (statewide)20$2,745$3,806$4,448$1,076–$7,109
Montana (statewide)6$3,302$4,064$4,754$1,348–$4,893
Nashville TN8$2,323$2,438$2,474$1,637–$2,541
Nebraska (statewide)16$2,396$2,722$3,194$2,028–$6,870
Nevada (statewide)3———$1,689–$4,304
New Hampshire (statewide)6$2,654$4,124$5,922$2,262–$7,396
New Jersey (statewide)21$1,880$3,141$4,708$1,625–$6,380
New Mexico (statewide)7$3,272$4,493$5,272$1,590–$5,653
New York (statewide)40$2,845$3,474$3,994$1,178–$7,209
New York City8$3,040$3,288$4,397$3,024–$8,704
North Carolina (statewide)15$1,756$3,073$4,122$1,516–$6,435
North Dakota (statewide)7$2,284$2,852$3,284$1,143–$4,952
Ohio (statewide)46$3,027$3,973$5,118$1,098–$6,348
Oklahoma (statewide)10$2,714$3,317$3,366$1,158–$4,507
Oregon (statewide)14$3,516$4,502$5,668$1,373–$7,486
Pennsylvania (statewide)49$2,450$3,790$4,843$1,054–$7,355
Philadelphia PA11$3,710$3,904$3,966$1,625–$8,858
Phoenix AZ8$2,781$2,842$2,897$2,760–$2,897
Pittsburgh PA8$2,011$2,550$3,354$1,422–$4,078
Portland OR9$6,766$6,766$7,100$6,729–$7,100
Research Triangle NC3———$3,142–$4,707
Rhode Island (statewide)6$1,858$2,760$3,341$1,601–$4,099
Richmond VA3———$3,477–$4,286
Rio Grande Valley TX6$2,166$2,342$3,267$2,146–$3,537
Salt Lake City UT9$1,514$1,530$1,530$1,476–$1,530
San Antonio TX3———$2,443–$2,911
San Diego CA7$3,611$3,611$3,634$3,038–$3,917
San Francisco Bay Area CA6$3,892$5,444$5,764$3,458–$14,262
Seattle-Tacoma WA16$4,747$4,963$5,216$4,513–$6,863
South Carolina (statewide)30$2,265$3,073$4,546$1,267–$7,680
South Dakota (statewide)4———$2,513–$8,242
St. Louis MO10$4,953$6,188$6,188$4,953–$8,358
Tampa FL6$1,690$1,690$2,615$1,690–$9,176
Tennessee (statewide)35$1,808$1,900$2,092$1,394–$2,663
Texas (statewide)76$2,433$2,923$3,350$943–$12,159
Utah (statewide)8$1,438$1,457$1,490$1,131–$5,713
Vermont (statewide)3———$842–$4,212
Virginia (statewide)24$3,573$5,186$5,542$1,736–$8,514
Washington (statewide)16$2,325$4,314$5,000$1,168–$8,802
Washington DC10$2,968$2,968$3,062$2,676–$3,702
West Virginia (statewide)13$2,283$2,759$5,369$1,419–$10,995
Wisconsin (statewide)47$3,077$3,337$4,748$820–$6,850
Wyoming (statewide)2———$1,369–$1,369

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$8010.5×12026-04-30
Clay County Medical CenterKansas (statewide)$8030.5×12026-07-22
Black River Memorial HospitalWisconsin (statewide)$8200.5×12026-01-08
Guttenberg Municipal HospitalIowa (statewide)$8210.5×12026-03-31
Northeastern Vermont Regional HospitalVermont (statewide)$8420.5×12026-08-27
Corewell Health Dearborn HospitalDetroit MI$8550.5×22026-05-01
Henry Ford Genesys HospitalMichigan (statewide)$8550.5×22026-01-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$8850.5×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$8850.5×32026-05-01
Corewell Health Wayne HospitalDetroit MI$8850.5×22026-05-01
Corewell Health Farmington Hills HospitalDetroit MI$8850.5×32026-05-01
Corewell Health Trenton HospitalDetroit MI$8850.5×22026-05-01
Thomas Jefferson University HospitalPhiladelphia PA$8,8585.2×42026-09-15
Providence Redwood Memorial HospitalCalifornia (statewide)$9,0444.3×32026-04-01
Providence Queen Of The Valley Medical CenterCalifornia (statewide)$9,1164.3×52026-04-01
Tampa General Hospital BrooksvilleTampa FL$9,1765.3×32026-04-01
University Of California Davis Medical CenterCalifornia (statewide)$9,3794.4×22026-04-01
Ann & Robert H Lurie Childrens Hospital Of ChicagoIllinois (statewide)$9,6535.5×22026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$9,6916.0×12025-09-09
Holy Cross HospitalFlorida (statewide)$10,5686.1×232026-03-31
Logan Regional Medical CenterWest Virginia (statewide)$10,9956.9×12026-04-01
Methodist Dallas Medical CenterTexas (statewide)$12,1597.3×12026-03-20
Cedars-Sinai Medical CenterLos Angeles CA$13,6806.4×22025-11-26
Stanford Health CareSan Francisco Bay Area CA$14,2625.9×32026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 19081: Breast Biopsy (Needle)

1286 hospitals in 82 markets. National Medicare rate $1,687, surgery center $742.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)19$1,548$1,906$2,476$801–$4,465
Alaska (statewide)3———$3,804–$6,100
Arizona (statewide)8$1,902$2,218$2,789$1,048–$5,282
Arkansas (statewide)6$1,705$1,770$2,045$1,467–$2,239
Atlanta GA10$3,904$4,140$4,140$3,792–$4,880
Austin TX13$1,144$3,248$3,490$1,144–$4,208
Boston MA16$1,714$2,496$2,796$1,238–$3,456
California (statewide)70$2,344$4,621$6,131$1,269–$9,512
Charlotte NC6$1,926$1,926$1,926$1,900–$6,830
Chicago IL10$2,872$3,561$4,314$1,694–$4,955
Cleveland OH11$3,086$3,281$3,854$2,475–$4,158
Colorado (statewide)18$1,905$3,342$5,602$1,429–$7,246
Columbus OH2———$5,940–$5,940
Connecticut (statewide)3———$2,165–$6,881
Dallas-Fort Worth TX14$2,480$2,923$3,979$2,480–$5,330
Delaware (statewide)1———$3,390–$3,390
Denver CO15$2,332$4,108$4,369$1,528–$5,678
Detroit MI13$885$1,086$1,279$858–$2,491
Florida (statewide)62$2,820$3,400$3,857$979–$10,568
Georgia (statewide)46$2,606$3,566$4,067$1,508–$5,320
Hawaii (statewide)4———$1,909–$2,496
Houston TX19$2,650$2,670$3,379$2,432–$5,265
Idaho (statewide)11$1,644$3,205$4,115$1,437–$4,912
Illinois (statewide)34$2,311$2,764$3,763$1,222–$5,752
Indiana (statewide)48$2,738$3,614$5,962$1,620–$8,700
Indianapolis IN7$3,800$4,000$4,340$1,747–$7,412
Iowa (statewide)25$2,179$2,867$3,507$821–$6,276
Kansas (statewide)16$2,030$2,444$3,680$1,460–$6,100
Kentucky (statewide)19$1,827$2,244$2,822$1,363–$3,877
Las Vegas NV1———$2,136–$2,136
Los Angeles CA17$3,863$4,036$5,015$2,963–$13,680
Louisiana (statewide)18$1,386$1,592$2,463$952–$4,411
Maine (statewide)17$6,639$7,454$7,708$1,630–$9,691
Maryland (statewide)1———$1,626–$1,626
Massachusetts (statewide)11$1,702$1,979$2,286$1,573–$2,971
Miami-Fort Lauderdale FL3———$2,415–$3,038
Michigan (statewide)28$1,353$1,646$3,098$871–$3,202
Minneapolis-St. Paul MN14$2,899$3,050$3,300$2,248–$3,813
Minnesota (statewide)16$2,824$4,028$5,056$1,992–$7,165
Mississippi (statewide)20$2,293$2,516$2,687$1,760–$4,504
Missouri (statewide)18$2,878$3,300$4,294$2,126–$7,109
Montana (statewide)7$3,335$3,736$4,744$1,348–$4,893
Nashville TN8$2,330$2,438$2,474$1,637–$2,541
Nebraska (statewide)16$3,174$3,324$3,962$1,733–$6,870
Nevada (statewide)3———$1,689–$4,304
New Hampshire (statewide)6$2,654$4,124$5,922$2,262–$7,396
New Jersey (statewide)21$1,880$3,141$4,708$1,625–$6,380
New Mexico (statewide)8$2,672$4,078$5,261$1,756–$5,653
New York (statewide)38$2,892$3,524$3,946$1,710–$7,209
New York City8$3,040$3,288$5,615$3,024–$9,258
North Carolina (statewide)12$1,698$3,408$4,107$1,516–$6,231
North Dakota (statewide)6$2,512$2,706$3,494$2,116–$6,540
Ohio (statewide)44$3,048$4,042$5,144$1,098–$6,348
Oklahoma (statewide)7$3,317$3,366$3,664$2,476–$4,507
Oregon (statewide)10$3,819$4,502$5,902$1,800–$7,486
Pennsylvania (statewide)43$2,788$4,381$5,512$1,453–$8,077
Philadelphia PA11$3,710$3,904$3,966$1,625–$8,858
Phoenix AZ8$2,781$2,842$2,897$2,760–$2,897
Pittsburgh PA8$2,012$2,550$3,354$1,417–$4,078
Portland OR9$6,766$6,766$7,100$6,729–$7,100
Research Triangle NC3———$3,275–$5,458
Rhode Island (statewide)6$1,858$2,760$3,341$1,601–$4,099
Richmond VA3———$3,477–$4,286
Rio Grande Valley TX4———$2,228–$3,537
Salt Lake City UT9$1,522$1,538$1,538$1,476–$1,538
San Antonio TX3———$2,443–$2,911
San Diego CA7$3,611$3,611$3,634$3,038–$3,917
San Francisco Bay Area CA6$3,892$5,444$5,764$3,458–$14,262
Seattle-Tacoma WA16$4,747$4,963$5,216$4,513–$6,863
South Carolina (statewide)30$4,115$5,152$5,966$1,541–$7,680
South Dakota (statewide)5$2,922$3,272$3,332$2,513–$8,242
St. Louis MO9$4,953$6,188$6,188$1,576–$8,358
Tampa FL6$1,690$1,690$2,615$1,690–$9,176
Tennessee (statewide)32$1,808$1,888$2,154$1,394–$2,722
Texas (statewide)73$2,447$2,923$3,346$928–$12,159
Utah (statewide)8$1,443$1,460$1,492$1,216–$5,713
Vermont (statewide)3———$850–$3,655
Virginia (statewide)23$3,560$5,202$5,560$1,736–$8,514
Washington (statewide)13$4,261$4,405$5,131$1,662–$8,802
Washington DC10$3,217$3,587$3,587$2,676–$3,702
West Virginia (statewide)11$2,521$2,782$5,380$1,798–$10,995
Wisconsin (statewide)40$2,514$3,077$4,581$1,565–$6,834

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$8010.5×12026-04-30
Guttenberg Municipal HospitalIowa (statewide)$8210.5×12026-03-31
Northeastern Vermont Regional HospitalVermont (statewide)$8500.5×12026-08-27
Corewell Health Dearborn HospitalDetroit MI$8580.5×22026-05-01
Henry Ford Genesys HospitalMichigan (statewide)$8710.5×22026-01-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$8850.5×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$8850.5×32026-05-01
Corewell Health Wayne HospitalDetroit MI$8850.5×22026-05-01
Corewell Health Farmington Hills HospitalDetroit MI$8850.5×32026-05-01
Corewell Health Trenton HospitalDetroit MI$8850.5×22026-05-01
Corewell Health Taylor HospitalMichigan (statewide)$8850.5×22026-05-01
Oaklawn HospitalMichigan (statewide)$9240.6×22026-03-27
Providence Redwood Memorial HospitalCalifornia (statewide)$9,0444.3×32026-04-01
Providence Queen Of The Valley Medical CenterCalifornia (statewide)$9,1164.3×52026-04-01
Tampa General Hospital BrooksvilleTampa FL$9,1765.3×32026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,2584.5×72026-01-01
University Of California Davis Medical CenterCalifornia (statewide)$9,3794.4×22026-04-01
Sonoma Valley HospitalCalifornia (statewide)$9,5124.3×162026-05-22
Mainehealth Lincoln HospitalMaine (statewide)$9,6916.0×12025-09-09
Holy Cross HospitalFlorida (statewide)$10,5686.1×232026-03-31
Logan Regional Medical CenterWest Virginia (statewide)$10,9956.9×12026-04-01
Methodist Dallas Medical CenterTexas (statewide)$12,1597.3×12026-03-20
Cedars-Sinai Medical CenterLos Angeles CA$13,6806.4×22025-11-26
Stanford Health CareSan Francisco Bay Area CA$14,2625.9×32026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for breast biopsy (needle)?

Across 1412 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 19083, hospital outpatient is $3,038, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,083 to $4,278. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for breast biopsy (needle)?

Medicare's national hospital outpatient rate for CPT 19083 is $1,687 and its surgery-center rate is $742, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for breast biopsy (needle)?

Lowest medians: Usa Health University Hospital ($801), Clay County Medical Center ($803), Black River Memorial Hospital ($820). Highest: Stanford Health Care ($14,262), Cedars-Sinai Medical Center ($13,680), Methodist Dallas Medical Center ($12,159). Coverage: every hospital whose price file we could read.