How Much Does Biopsy Breast Initial Lesion US Imag Cost?
Also known as: Bx breast 1st lesion us imag (CPT 19083)
Ultrasound-guided breast biopsy.
The total estimated cost of Biopsy Breast Initial Lesion US Imag (CPT 19083) is $313 to $509, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $131.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Biopsy Breast Initial Lesion US Imag
What you need to know before your appointment
What to Expect
Using ultrasound to visualize the target, the doctor inserts a needle to collect tissue samples from a breast mass.
How Long Does It Take?
20-30 minutes
Common Reasons Doctors Order This
Suspicious breast mass, abnormal ultrasound finding, solid breast lump requiring tissue diagnosis
How to Prepare
Avoid blood thinners for 5-7 days if directed. Wear a comfortable, supportive bra. Ice the area after.
Procedures Commonly Done Together
These procedures are frequently performed alongside Bx breast 1st lesion us imag
How to Reduce Your Cost for Bx breast 1st lesion us imag
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($476) differs from the facility rate ($131). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (14.24) x CF ($33.40) = $476
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Bx breast 1st lesion us imag cost?
The Medicare facility rate for Bx breast 1st lesion us imag is $131. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Bx breast 1st lesion us imag cost without insurance?
Without insurance, the cost of Bx breast 1st lesion us imag can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Bx breast 1st lesion us imag?
Most commercial health insurance plans and Medicare cover Bx breast 1st lesion us imag when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.