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See a sample rate comparisonCPT 19086 Fee Schedule
Medicare rates as of October 2026
CPT 19086 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Bx Breast Add Lesion Mr Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous Each Additional Lesion Including Magnetic Resonance Guidance List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $553.12 national non-facility rate (2026) · View Medicare rates for 19086 |
| Medicaid Fee Schedule | $437.675 median of the 8 states in the free preview · View Medicaid rates for 19086 |
National average reimbursement for CPT 19086 by major payers:
$748.19
BCBS / Anthem
$988.36
UnitedHealthcare
$914.18
Aetna
$304.29
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 19086.
CPT 19086
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers LLC
$4,613.00Published rateSurgcenter Of White Marsh, LLC
$555.00Published rateNorth Georgia Endoscopy Center Inc
$275.00Published rateGeorgia Urology, PA, Georgia Urology Asc Conyers
$171.00Published rateUniversity Of Maryland Surgcial Assoc PA, University Of Maryland Urological Surgery Center
University Of Maryland Surgical Associates P A
$75.00Published rate
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See a sample payer proposalCPT 19086 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 19086. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 19083-CPT | Moderate | Bx Breast 1st Lesion Us Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous First Lesion Including Ultrasound Guidance |
| 19084-CPT | Moderate | Bx Breast Add Lesion Us Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous Each Additional Lesion Including Ultrasound Guidance List Separately In Addition To Code For Primary Procedure |
| 19085-CPT | Moderate | Bx Breast 1st Lesion Mr Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous First Lesion Including Magnetic Resonance Guidance |
| 19086-CPT | Moderate | Bx Breast Add Lesion Mr Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous Each Additional Lesion Including Magnetic Resonance Guidance List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19086. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19086 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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