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Hawaii rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $85 · 10th–90th $76$1000%10%20%10th90th$85Professionalmedian $209 · 10th–90th $78$6610%5%10th90th$209$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
$75.86 / $85.11 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $89.13 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $194.98 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $91.20 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $190.55 / $295.12
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $812.83
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $100.00 / $104.71
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $562.34 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $281.84 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $89.13 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $194.98 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $537.03 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $102.33 / $616.60
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $478.63 / $1,174.90
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $575.44
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $109.65 / $134.90
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $239.88 / $316.23