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

What does a breast biopsy cost in Wisconsin?

You could pay $599 or $1,229 for the same breast biopsy in Wisconsin - depending entirely on which facility you choose. The median cash price across 128 reporting hospitals is $936. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in Wisconsin, from hospital price files

  • Sauk Prairie Healthcare · Prairie Du Sac, WI $292
  • Ascension NE Wisconsin, Inc. $298
  • SAINT CROIX REGIONAL MEDICAL CENTER · Saint Croix Falls, WI $300

All 128 facilities are listed below, free.

Where breast biopsy costs vary in Wisconsin

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.
  • ✓ Pathology is separate: The lab that examines the sample bills on its own.
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  • ✓ The questions to ask before you schedule, so the estimate covers everything
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Cheapest Breast Biopsy Providers in Wisconsin

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

# Facility City Price vs median ($936)
1 Sauk Prairie Healthcare Prairie Du Sac, WI $292 $644 below
2 Ascension NE Wisconsin, Inc. WI $298 $638 below
3 SAINT CROIX REGIONAL MEDICAL CENTER Saint Croix Falls, WI $300 $636 below
4 EDGERTON HOSPITAL AND HEALTH SERVICES Edgerton, WI $324 $612 below
5 Ascension NE Wisconsin, Inc. WI $333 $603 below
6 Ascension Calumet Hospital, Inc. WI $333 $603 below
7 Allina Health Systems River Falls, WI $342 $594 below
8 Ascension All Saints Hospital, Inc. WI $350 $586 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

  • Sauk Prairie Healthcare is the lowest-cost option at $292 - $644 below the median posted price ($936), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $936, 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 Wisconsin, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)85$313 to $3,303$2,095
Without insurance (cash price)136$295 to $1,654$936
Anthem Blue Cross and Blue Shield59$231 to $3,366$1,530
UnitedHealthcare59$337 to $3,502$2,183
Cigna46$582 to $3,908$2,709
Aetna33$1,125 to $2,629$2,086

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 Wisconsin?

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 Wisconsin?

Across 85 Wisconsin hospitals, the negotiated rates commercial insurers pay for breast biopsy average $313 to $3,303 per hospital, with a median near $2,095. 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 Wisconsin?

Cash (self-pay) prices for breast biopsy at 136 Wisconsin hospitals range from $295 to $1,654, with a median of $936. 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 Anthem Blue Cross and Blue Shield in Wisconsin?

Anthem Blue Cross and Blue Shield negotiated rates for breast biopsy at 59 Wisconsin hospitals range from $231 to $3,366, with a median near $1,530. 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 Wisconsin?

UnitedHealthcare negotiated rates for breast biopsy at 59 Wisconsin hospitals range from $337 to $3,502, with a median near $2,183. 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 Cigna in Wisconsin?

Cigna negotiated rates for breast biopsy at 46 Wisconsin hospitals range from $582 to $3,908, with a median near $2,709. 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 Aetna in Wisconsin?

Aetna negotiated rates for breast biopsy at 33 Wisconsin hospitals range from $1,125 to $2,629, with a median near $2,086. 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 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
$200–$7,538
  • Facility fee $101–$6,842
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$200–$5,173
  • Facility fee $101–$4,477
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median.

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 (5) report prices above $2,979, including Madison Rehabilitation Hospital, LLC at $4,477, 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 $932 versus $684 inpatient, so where a procedure happens often matters more than which hospital you pick.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$936
Deductible met - 20% coinsurance ~$187
Out-of-network provider $2,059+

Frequently asked questions: breast biopsy costs in Wisconsin

How much does a breast biopsy cost in Wisconsin?

The typical insurer-negotiated rate is $401, with most facilities between $123 and $1,183 (based on 126 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Wisconsin hospitals run $295–$1,654; 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 Wisconsin?

Based on declared prices, the lowest posted price in our Wisconsin data is Sauk Prairie Healthcare in Prairie Du Sac at about $292. By metro, Green Bay has the lowest median ($1,085).

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

Typical prices vary about 9.6× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $936 versus a median negotiated rate of $2,095 - 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 Wisconsin?

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 Wisconsin

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 Wisconsin

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

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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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