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

Breast Biopsy Cost in Massachusetts (2026): Average Prices & What You'll Pay

What does a breast biopsy cost in Massachusetts?

The same breast biopsy in Massachusetts might cost you $750 at one facility and $1,719 at another - the building you walk into drives the difference. The median cash price across 49 reporting hospitals is $1,126. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.

Where breast biopsy costs vary in Massachusetts

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

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

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  • ✓ Guidance method: Biopsies guided by ultrasound, by mammography (stereotactic) or by MRI are priced as different procedures.
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Cheapest Breast Biopsy Providers in Massachusetts

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($1,126)
1 ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA $294 $832 below
2 HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA $294 $832 below
3 The Mercy Hospital Inc Springfield, MA $322 $804 below
4 South Shore Hospital South Weymouth, MA $345 $781 below
5 Cambridge Health Alliance Cambridge, MA $443 $683 below
6 Tufts Medical Center Boston, MA $511 $615 below
7 Merrimack Health Methuen Hospital |Merrimack Health Haverhill Hospital MA $536 $590 below
8 Boston Medical Center Boston, MA $601 $525 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • ATHOL MEMORIAL HOSPITAL INCORPORATED is the lowest-cost option at $294 - $832 below the median posted price ($1,126), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,126, and it's often lower than what insurance pays before your deductible is satisfied.
  • Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
Breast biopsy prices by coverage in Massachusetts, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)28$1,360 to $3,042$2,062
Without insurance (cash price)51$294 to $2,648$1,126
Blue Cross Blue Shield of Massachusetts27$1,597 to $3,136$2,306
UnitedHealthcare22$633 to $4,533$2,091
Aetna15$483 to $5,126$1,668
Cigna14$1,082 to $2,935$2,163

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a breast biopsy cost with Medicare in Massachusetts?

Medicare's national hospital outpatient payment for breast biopsy is about $1,687 to $1,687 (typically near $1,687). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $337 on a $1,687 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does a breast biopsy cost with insurance in Massachusetts?

Across 28 Massachusetts hospitals, the negotiated rates commercial insurers pay for breast biopsy average $1,360 to $3,042 per hospital, with a median near $2,062. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a breast biopsy cost without insurance in Massachusetts?

Cash (self-pay) prices for breast biopsy at 51 Massachusetts hospitals range from $294 to $2,648, with a median of $1,126. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a breast biopsy cost with Blue Cross Blue Shield of Massachusetts?

Blue Cross Blue Shield of Massachusetts negotiated rates for breast biopsy at 27 Massachusetts hospitals range from $1,597 to $3,136, with a median near $2,306. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a breast biopsy cost with UnitedHealthcare in Massachusetts?

UnitedHealthcare negotiated rates for breast biopsy at 22 Massachusetts hospitals range from $633 to $4,533, with a median near $2,091. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How much does a breast biopsy cost with Aetna in Massachusetts?

Aetna negotiated rates for breast biopsy at 15 Massachusetts hospitals range from $483 to $5,126, with a median near $1,668. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does a breast biopsy cost with Cigna in Massachusetts?

Cigna negotiated rates for breast biopsy at 14 Massachusetts hospitals range from $1,082 to $2,935, with a median near $2,163. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for breast biopsy

The same breast biopsy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$388–$6,281
  • Facility fee $289–$5,585
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$388–$6,281
  • Facility fee $289–$5,585
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Massachusetts has the highest commercial hospital reimbursement rates in the country, driven by extreme labor costs, the dominance of Mass General Brigham (Partners HealthCare), and a regulatory environment that has struggled to contain negotiated rate growth. The state has enacted multiple price transparency and rate growth laws aimed at curbing this pattern. Self-pay cash discounts in Massachusetts tend to be proportionally larger than in other high-cost states.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $3,498, including Boston Children's Hospital at $5,585, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $1,100 versus $632 inpatient, so where a procedure happens often matters more than which hospital you pick.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$1,126
Deductible met - 20% coinsurance ~$225
Out-of-network provider $2,477+

Frequently asked questions: breast biopsy costs in Massachusetts

How much does a breast biopsy cost in Massachusetts?

The typical insurer-negotiated rate is $750, with most facilities between $350 and $1,082 (based on 49 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Massachusetts hospitals run $294–$2,648; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a breast biopsy in Massachusetts?

Based on declared prices, the lowest posted price in our Massachusetts data is ATHOL MEMORIAL HOSPITAL INCORPORATED in Athol at about $294. By metro, Cambridge has the lowest median ($1,211).

Why is a breast biopsy so much cheaper at some Massachusetts hospitals?

Typical prices vary about 3.1× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Massachusetts, the median cash (self-pay) price is $1,126 versus a median negotiated rate of $2,062 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a breast biopsy in Massachusetts?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Massachusetts

Breast Biopsy, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Massachusetts

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Heart and cardiac tests

Sleep and breathing tests

Scopes and screening

Bone, joint and pain

Lab tests

Ear, nose and throat

Urology and women's health

Eye care

Infusions

Emergency care

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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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