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Minnesota rates for HCPCS 0634T

Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s)

Facilitymedian $372 · 10th–90th $204–$8130%10%10th90th$372Professionalmedian $339 · 10th–90th $200–$3720%20%40%10th90th$339$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $218.78 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $933.25 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $281.84 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $446.68 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $489.78