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Procedure price report · Breast biopsy and other diagnostic procedures on breast

Breast biopsy with MRI guidance, each additional lesion

CPT 19086the billing code this page is about

Billed once for each further breast lesion sampled by needle under MRI guidance, including marker placement and imaging, in addition to the first lesion.

Hospitals typically charge $1,649 cash for this outpatient procedure — the median across 1,388 hospitals that filed a usable cash price; the average of the middle 60% is $1,767. Most fall between $702 and $3,149 (20th–80th percentile).

Hospitals
1,388
States
50
Filings dated
Feb 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,388 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$316$892$1,649$2,803$4,276

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($316 vs $4,276).

How the prices are spread

$161 – $228: 29 hospitals$161$228 – $324: 46 hospitals$324 – $459: 56 hospitals$324$459 – $652: 73 hospitals$652 – $926: 91 hospitals$652$926 – $1,314: 170 hospitals$1,314 – $1,866: 235 hospitals$1,314$1,866 – $2,649: 244 hospitals$2,649 – $3,761: 187 hospitals$2,649$3,761 – $5,339: 121 hospitals$3,761median $1,649price bands are equal on a log scale
Hospitals per price band (1,252 of 1,388 — the bands cover the 5th to 95th percentile)
FromToHospitals
$161$22829
$228$32446
$324$45956
$459$65273
$652$92691
$926$1,314170
$1,314$1,866235
$1,866$2,649244
$2,649$3,761187
$3,761$5,339121

By state

The median cash price in each state, against the national median of $1,649.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,698 across 27 hospitalsWA$1,698Idaho: median $2,211 across 11 hospitalsID$2,211Montana: median $911 across 10 hospitalsMT$911North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,859 across 36 hospitalsMN$1,859Illinois: median $1,778 across 65 hospitalsIL$1,778Wisconsin: median $2,187 across 67 hospitalsWI$2,187Michigan: median $1,661 across 51 hospitalsMI$1,661New York: median $2,311 across 51 hospitalsNY$2,311Massachusetts: median $344 across 29 hospitalsMA$344Oregon: median $1,624 across 23 hospitalsOR$1,624Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,597 across 26 hospitalsIA$1,597Indiana: median $1,813 across 52 hospitalsIN$1,813Ohio: median $1,928 across 85 hospitalsOH$1,928Pennsylvania: median $1,043 across 60 hospitalsPA$1,043New Jersey: median $3,976 across 36 hospitalsNJ$3,976Connecticut: median $2,680 across 13 hospitalsCT$2,680Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,229 across 107 hospitalsCA$2,229Utah: median $2,211 across 23 hospitalsUT$2,211Colorado: median $3,853 across 34 hospitalsCO$3,853Nebraska: median $1,481 across 18 hospitalsNE$1,481Missouri: median $1,292 across 27 hospitalsMO$1,292Kentucky: median $997 across 14 hospitalsKY$997West Virginia: median $943 across 14 hospitalsWV$943Virginia: median $2,971 across 29 hospitalsVA$2,971Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,610 across 19 hospitalsAZ$2,610New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,085 across 14 hospitalsTN$1,085North Carolina: median $1,782 across 43 hospitalsNC$1,782South Carolina: median $2,274 across 30 hospitalsSC$2,274Oklahoma: median $262 across 24 hospitalsOK$262Louisiana: median $300 across 22 hospitalsLA$300Mississippi: median $1,026 across 17 hospitalsMS$1,026Alabama: median $772 across 16 hospitalsAL$772Georgia: median $1,459 across 54 hospitalsGA$1,459Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,551 across 101 hospitalsTX$1,551Florida: median $2,277 across 63 hospitalsFL$2,277
Cash price by state, most expensive first. National median $1,649. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ36$3,976+141%$2,263 – $5,855
Colorado CO34$3,853+134%$1,465 – $5,153
Virginia VA29$2,971+80%$1,349 – $6,156
Connecticut CT13$2,680+63%$909 – $2,935
Arizona AZ19$2,610+58%$562 – $2,803
New York NY51$2,311+40%$855 – $4,595
Florida FL63$2,277+38%$1,199 – $3,341
South Carolina SC30$2,274+38%$1,881 – $3,831
California CA107$2,229+35%$1,175 – $4,249
Idaho ID11$2,211+34%$1,093 – $4,347
Utah UT23$2,211+34%$2,211 – $2,601
Wisconsin WI67$2,187+33%$316 – $2,669
Ohio OH85$1,928+17%$898 – $3,169
Minnesota MN36$1,859+13%$951 – $2,552
Indiana IN52$1,813+10%$1,112 – $3,433
North Carolina NC43$1,782+8%$970 – $2,521
Illinois IL65$1,778+8%$617 – $2,838
Washington WA27$1,698+3%$634 – $1,907
Michigan MI51$1,661+1%$471 – $3,244
Oregon OR23$1,624−2%$161 – $4,689
Iowa IA26$1,597−3%$864 – $1,806
Texas TX101$1,551−6%$981 – $3,497
Nebraska NE18$1,481−10%$197 – $1,806
Georgia GA54$1,459−12%$842 – $1,881
Missouri MO27$1,292−22%$601 – $2,612
Tennessee TN14$1,085−34%$641 – $1,439
Pennsylvania PA60$1,043−37%$536 – $2,548
Mississippi MS17$1,026−38%$428 – $2,506
Kentucky KY14$997−40%$432 – $3,433
West Virginia WV14$943−43%$88 – $1,318
Montana MT10$911−45%$727 – $911
Alabama AL16$772−53%$724 – $5,721
Massachusetts MA29$344−79%$192 – $1,219
Louisiana LA22$300−82%$139 – $1,068
Oklahoma OK24$262−84%$98 – $1,016
Kansas KS8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,649.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,227$1,649$717 – $3,244
Children’s13fewer than 20 hospitals
Critical access141$1,649$382 – $2,669
Ownership
For-profit103$1,566$656 – $3,497
Government157$1,459$625 – $3,009
Non-profit1,121$1,695$702 – $3,169
System affiliation
Part of a system1,227$1,698$820 – $3,210
Independent161$1,093$334 – $2,490

Cash price vs list price

Median list price (chargemaster)$2,840
Median cash price$1,649
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,103 hospitals filed a usable inpatient cash price for this code. The median is $1,698 and the average of the middle 60% is $1,844; most fall between $842 and $3,210.

Cash price percentiles, inpatient, across 1,103 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$391$999$1,698$2,860$4,226

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($391 vs $4,226).

Of the 1,188 hospitals that filed this code inpatient, 1,103 gave a usable cash price; 41 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,388 of the 3,956 hospitals with a price file in our corpus (35%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,545 hospitals that filed this code at all gave us
Usable cash price — counted1,388
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded91
Hospitals that filed this code1,545

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Breast biopsy and other diagnostic procedures on breast family.

Hospitals file this code under descriptions such as Bx Breast W/Device Addl Lesion Magnet Res Guid.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Breast biopsy with MRI guidance, each additional lesion (CPT 19086) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-19086-breast-biopsy-with-mri-guidance-each-additional-lesion