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Reviewed by John Caruso, FSA, MAAA • Data last updated

Breast Biopsy Cost (2026): $521–$1,578

Typical cost

$521–$1,578

Sticker price is almost never what patients actually pay.

Your actual cost depends on your deductible, coinsurance, and where you are in your plan.

👉 The same Breast Biopsy could cost you $0 or $1,578.

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A breast biopsy removes a small sample of breast tissue to check it under a microscope, usually after an abnormal mammogram or exam. Most are done with a needle under imaging guidance.

CostKits Data - Breast Biopsy

$520–$1,580
National typical range
Median across all 50 states
11×
National price spread
Cheapest vs. most expensive market
5,766
Facilities in our database
93% have observed negotiated rates
High
Shopping potential
Facility type is the biggest cost lever
50
States with cost data
Updated 2026

CostKits Market Intelligence - Breast Biopsy

Confidence: High
Sources Used
  • CMS Medicare fee schedules (MPFS, OPPS, ASC)
  • Hospital price transparency files
  • Commercial rate relativity model
Estimate Composition
Observed negotiated rates
95%
Medicare baseline
5%
Estimated relativity
0%
350 geographic markets analyzed
5,766 facilities in dataset
50 states + 300 metros

Where people are getting Breast Biopsy done

A sample of real facilities across major U.S. metros - click a pin to save one, or enter your ZIP to find facilities near you.

Click a pin to save a facility - auto-cycling through major metros

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Facility locations from CMS hospital price-transparency filings. Get a personalized cost estimate →
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How to Use This Data

These prices come from hospital price transparency files that hospitals are required by law to publish. They represent the range of what hospitals declare as their charges - actual negotiated rates with insurers are typically 40–60% lower.

If you have insurance: Your out-of-pocket cost is determined by your deductible, coinsurance, and your insurer's negotiated rate with the specific facility. Call your insurer for a pre-service cost estimate before scheduling.

If you are uninsured: Call 2–3 facilities directly and ask for their self-pay or cash-pay rate. Most facilities offer 20–50% discounts off list prices for upfront payment.

If you received a bill: Upload it to CostKits to compare what you were charged against what other facilities in your state reported.

What you pay for a breast biopsy depends on where you go and what is billed separately. Most patients find out after.

Your personalized cost report includes:

  • ✓ Guidance method: Biopsies guided by ultrasound, by mammography (stereotactic) or by MRI are priced as different procedures.
  • ✓ Pathology is separate: The lab that examines the sample bills on its own.
  • ✓ Which bills usually arrive separately, and which providers to check are in-network
  • ✓ The questions to ask before you schedule, so the estimate covers everything
  • ✓ A real patient billing breakdown, line by line

Free for patients - takes 30 seconds to get.

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What's Actually on a Breast Biopsy Bill?

A single breast biopsy can generate multiple separate bills. Each provider bills independently and they often arrive weeks apart. Here's what to expect at a Hospital Outpatient:

Billing Component Always? Typical Amount Separate Bill? Notes
Facility Fee Always - Often
Physician Fee Always - Usually

Breast Biopsy Cost-Saving Decision Guide

Three moves that reduce your actual out-of-pocket cost - not just awareness, but specific decisions you can make before scheduling:

Choose the right facility
If: Procedure is non-urgent + a hospital outpatient department is where you're scheduled
Typical savings: $375–$800 - Moving from a hospital outpatient department to a doctor's office is typically the single biggest lever - identical care, lower overhead
Ask for the cash-pay rate
If: Uninsured or paying out-of-pocket + facility has a cash-discount program
Typical savings: 20–30% - Most facilities offer 20–30% off the standard negotiated rate for upfront cash payment - always ask the billing department before scheduling

Common Breast Biopsy Billing Surprises

The sticker price is rarely the whole story. These are the charges that most often surprise people after a breast biopsy - knowing them in advance is how you catch errors and avoid out-of-network bills.

You May Receive Two Bills

Most breast biopsy episodes produce a facility charge and a separate professional (physician) charge. Even when the facility is in-network, the physician can be out-of-network.

The Physician Bills Separately

The physician bills independently from the facility and may arrive later as its own statement.

Facility Fees

Hospital facility fees are typically far higher than ambulatory or independent settings for the identical service.

Out-of-Network Physician

Confirm the physician - not just the facility - is in your network before the procedure.

Explore Breast Biopsy Costs

How Insurance Affects the Cost of This Procedure

Understanding these insurance concepts can help you estimate what you may actually pay for this procedure.

Cheapest States for Breast Biopsy

The 10 lowest-cost states for breast biopsy, by typical facility price range. Use these as a benchmark.

  1. 1. Utah $260–$477
  2. 2. Maryland $287–$643
  3. 3. Hawaii $343–$612
  4. 4. Vermont $451–$942
  5. 5. Kansas $437–$1,029
  6. 6. Louisiana $439–$1,109
  7. 7. South Carolina $657–$951
  8. 8. Tennessee $607–$1,003
  9. 9. Michigan $408–$1,205
  10. 10. North Dakota $397–$1,223

Most Expensive States for Breast Biopsy

The 10 highest-cost states for breast biopsy. If you're in one of these, shopping facilities and asking for the cash-pay rate matters most.

  1. 1. South Dakota $717–$2,954
  2. 2. Arizona $750–$2,451
  3. 3. Delaware $472–$2,700
  4. 4. Virginia $1,164–$1,995
  5. 5. Connecticut $608–$2,392
  6. 6. Idaho $487–$2,410
  7. 7. Kentucky $968–$1,875
  8. 8. Oregon $947–$1,835
  9. 9. Washington $885–$1,880
  10. 10. Nevada $913–$1,796

Breast Biopsy Cost by State

Data source: CMS Hospital Price Transparency Machine-Readable Files. Prices represent hospital-declared charges and do not include physician fees, anesthesia, or other separately-billed services.

What will you pay for Breast Biopsy?

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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