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Missouri rates for HCPCS 0637T

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

Facilitymedian $479 · 10th–90th $245–$1,5490%10%20%10th90th$479Professionalmedian $224 · 10th–90th $170–$3800%20%40%10th90th$224$0.0$0.2$2.0$20.0$200.0$2.0K

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
$223.87 / $812.83 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $186.21 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $724.44 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $467.74 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $446.68 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $407.38 / $660.69