What do doctors typically charge for Biopsy of Breast and Placement of Locating Device using X-ray with Needle?

The nationwide median physician charge for Biopsy of Breast and Placement of Locating Device using X-ray with Needle (CPT 19081) is $1338.89. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 19081?

The standard insurance baseline reimbursement rate is $169.91. This represents the customary allowable amount established across standard fee schedules.

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CPT 19081Medical Service

Biopsy of Breast and Placement of Locating Device using X-ray with Needle

Biopsy of breast and placement of locating device using x-ray with needle, first growth. Clinical pricing breakdown and utilization metrics across 1,707 practicing doctors nationwide.

$1338.89

Peer Median Charge

Gross billed rate

$169.91

Standard Baseline

Customary allowable

7.9x

National Markup

Charge vs baseline

1,707

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $1338.89. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $169.91 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 19081 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"