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Arizona rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $316 · 10th–90th $112$3630%20%10th90th$316Professionalmedian $182 · 10th–90th $71$5620%5%10th90th$182$20.0$50.0$100.0$200.0$500.0$1.0K$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
26
Typical Low / Median / Typical High
$112.20 / $316.23 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $295.12 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $109.65 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $169.82 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $457.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $97.72 / $154.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $190.55 / $302.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.62 / $85.11 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $89.13 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $190.55 / $380.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$549.54 / $707.95 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $602.56 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $75.86 / $478.63
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $537.03 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $457.09 / $1,096.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $81.28 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $363.08 / $831.76