Needle biopsy of a breast lump with a marker clip, ultrasound-guided (19083) or stereotactic (19081). What Medicare pays in each setting, in every state, and where it costs less.
Needle biopsy of a breast lump with a marker clip, ultrasound-guided (19083) or stereotactic (19081).
Every bill for the whole procedure: facility, surgeon, anesthesia and the care around it
Look up the price in your ZIP codeAll services
| State | Office or clinic | Surgery center | Hospital outpatient |
|---|---|---|---|
| Alabama | $425 | $769–$821 | $1,547–$1,690 |
| Alaska | $545 | $973 | $2,010 |
| Arizona | $463 | $898 | $1,891 |
| Arkansas | $419 | $797–$832 | $1,626–$1,722 |
| California | $507–$642 | $1,031–$1,158 | $2,253–$2,574 |
| Colorado | $498 | $893–$900 | $1,873–$1,892 |
| Connecticut | $508 | $986 | $2,116 |
| Delaware | $471 | $891–$928 | $1,870–$1,972 |
| District of Columbia | $547 | $857–$979 | $1,757–$2,092 |
| Florida | $465–$508 | $891–$904 | $1,860–$1,873 |
| Georgia | $439–$484 | $785–$884 | $1,578–$1,847 |
| Hawaii | $521 | $967 | $2,079 |
| Idaho | $441 | $845–$858 | $1,755–$1,792 |
| Illinois | $450–$495 | $908–$918 | $1,905–$1,916 |
| Indiana | $443 | $887–$907 | $1,871–$1,923 |
| Iowa | $438 | $828–$865 | $1,710–$1,812 |
| Kansas | $435 | $804–$820 | $1,642–$1,687 |
| Kentucky | $434 | $819–$845 | $1,677–$1,749 |
| Louisiana | $433–$456 | $800–$823 | $1,624–$1,686 |
| Maine | $442–$468 | $844–$869 | $1,750–$1,815 |
| Maryland | $480–$506 | $822–$899 | $1,681–$1,889 |
| Massachusetts | $494–$549 | $980–$986 | $2,110–$2,116 |
| Michigan | $445–$471 | $857–$867 | $1,776–$1,790 |
| Minnesota | $478 | $871–$902 | $1,828–$1,912 |
| Mississippi | $422 | $771–$810 | $1,549–$1,655 |
| Missouri | $425–$458 | $858 | $1,782 |
| Montana | $476 | $873 | $1,818 |
| Nebraska | $441 | $874 | $1,837 |
| Nevada | $474 | $891 | $1,872 |
| New Hampshire | $489 | $900 | $1,893 |
| New Jersey | $514–$541 | $942–$983 | $1,996–$2,103 |
| New Mexico | $448 | $854–$881 | $1,766–$1,838 |
| New York | $454–$560 | $1,006–$1,029 | $2,188–$2,212 |
| North Carolina | $447 | $827–$862 | $1,704–$1,798 |
| North Dakota | $469 | $866 | $1,811 |
| Ohio | $444 | $825–$853 | $1,692–$1,768 |
| Oklahoma | $434 | $832 | $1,715–$1,726 |
| Oregon | $471–$515 | $924–$986 | $1,963–$2,133 |
| Pennsylvania | $445–$495 | $842–$894 | $1,737–$1,881 |
| Rhode Island | $488 | $936 | $1,989 |
| South Carolina | $446 | $814–$841 | $1,664–$1,738 |
| South Dakota | $468 | $865 | $1,810 |
| Tennessee | $437 | $796–$841 | $1,622–$1,745 |
| Texas | $442–$496 | $860–$867 | $1,787–$1,795 |
| Utah | $453 | $865 | $1,801 |
| Vermont | $466 | $849–$872 | $1,764–$1,825 |
| Virginia | $466 | $841–$877 | $1,738–$1,836 |
| Washington | $493–$561 | $928–$964 | $1,971–$2,058 |
| West Virginia | $433 | $837–$883 | $1,717–$1,842 |
| Wisconsin | $453 | $834–$880 | $1,726–$1,852 |
| Wyoming | $473 | $870 | $1,815 |
Medicare's 2026 national price for breast biopsy is $476 at office or clinic; $873 at surgery center; $1,818 at hospital outpatient. Prices vary by area; private insurance usually pays more.
Usually at office or clinic ($476) rather than hospital outpatient ($1,818), about $1,342 less for the same service at Medicare's national rates.
These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.