Methods and systems are disclosed for providing guidance for operation of a localization insertion device based on ultrasonic imaging. Ultrasonic waves are emitted and detected by an ultrasonic transducer to generate image data. An introducer for placing a localization wire is identified within the generated image data. Based on the identification of the introducer, the methods and systems may determine a predicted location based at least in part on introducer properties and localization wire properties. The predicted location of the ring of the localization wire may be the predicated location of the localization wire when positioned subcutaneously with the localization insertion device. At least one indicator may be displayed indicating the determined predicted ring location.