CostKits Healthcare, Organized
Login
Home Tools Procedure Costs Learn
Reviewed by John Caruso, FSA, MAAA • Data last updated

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

What does a breast biopsy cost in Utah?

Where you have a breast biopsy done in Utah swings the bill from $260 to $477 for identical care. The median cash price across 43 reporting hospitals is $262. The numbers are pulled directly from federally mandated hospital price transparency files. 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 Utah

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.

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.

We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.

Cheapest Breast Biopsy Providers in Utah

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

# Facility City Price vs median ($262)
1 IHC Health Servies Inc., DBA Intermountain The Orthopedic Specialty Hospital Murray, UT $260 $2 below
2 IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT $260 $2 below
3 IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT $260 $2 below
4 IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT $260 $2 below
5 IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT $260 $2 below
6 Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT $260 $2 below
7 IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT $260 $2 below
8 IHC Health Services Inc., DBA Intermountain Health Sanpete Valley Hospital Mt Pleasant, UT $260 $2 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

  • IHC Health Servies Inc., DBA Intermountain The Orthopedic Specialty Hospital is the lowest-cost option at $260 - $2 below the median posted price ($262), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $262, 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 Utah, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)16$1,707 to $2,153$2,109
Without insurance (cash price)50$260 to $1,449$262
Regence BlueCross BlueShield of Utah16$1,545 to $3,031$2,440
Aetna15$1,885 to $2,802$2,176
Cigna15$2,132 to $3,669$2,132
UnitedHealthcare7$449 to $4,912$3,625

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 Utah?

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 Utah?

Across 16 Utah hospitals, the negotiated rates commercial insurers pay for breast biopsy average $1,707 to $2,153 per hospital, with a median near $2,109. 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 Utah?

Cash (self-pay) prices for breast biopsy at 50 Utah hospitals range from $260 to $1,449, with a median of $262. 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 Regence BlueCross BlueShield of Utah?

Regence BlueCross BlueShield of Utah negotiated rates for breast biopsy at 16 Utah hospitals range from $1,545 to $3,031, with a median near $2,440. 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 Aetna in Utah?

Aetna negotiated rates for breast biopsy at 15 Utah hospitals range from $1,885 to $2,802, with a median near $2,176. 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 Utah?

Cigna negotiated rates for breast biopsy at 15 Utah hospitals range from $2,132 to $3,669, with a median near $2,132. 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 much does a breast biopsy cost with UnitedHealthcare in Utah?

UnitedHealthcare negotiated rates for breast biopsy at 7 Utah hospitals range from $449 to $4,912, with a median near $3,625. 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 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
$359–$3,675
  • Facility fee $260–$2,979
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$364–$1,114
  • Facility fee $265–$418
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Intermountain Health dominates the Utah market with over 50% of acute care beds and its own insurance arm, SelectHealth. If you're covered by SelectHealth, the posted prices here may not apply. For commercial patients not using Intermountain-affiliated plans, prices in Utah's urban Wasatch Front markets run below the Mountain West average.

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 (11) report prices above $802, including Castleview Hospital at $2,979, 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 $262 versus $342 inpatient (about 1.3× more), so where a procedure happens often matters more than which hospital you pick.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Your situation Estimated out-of-pocket
Deductible not yet met ~$262
Deductible met - 20% coinsurance ~$52
Out-of-network provider $576+

Frequently asked questions: breast biopsy costs in Utah

How much does a breast biopsy cost in Utah?

The typical insurer-negotiated rate is $217, with most facilities between $217 and $237 (based on 43 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Utah hospitals run $260–$1,449; 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 Utah?

Based on declared prices, the lowest posted price in our Utah data is IHC Health Servies Inc., DBA Intermountain The Orthopedic Specialty Hospital in Murray at about $260. By metro, Murray has the lowest median ($260).

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

Typical prices vary about 1.1× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Utah, the median cash (self-pay) price is $262 versus a median negotiated rate of $2,109 - 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 Utah?

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 Utah

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 Utah

General surgery

Imaging and scans

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

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

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

Connect on LinkedIn →

Ready to take control of your healthcare costs?

Use the free cost estimator →  ·  Get your bill screened for free →  ·  See the family plan →

Published October 29, 2026 · Updated October 29, 2026

Track Your Healthcare Costs

Create a free account to save procedures, compare prices, and analyze future medical bills.