go back

Idaho rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $191 · 10th–90th $98$1950%20%40%10th90th$191Professionalmedian $204 · 10th–90th $79$4790%5%10%10th90th$204$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
$97.72 / $97.72 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $112.20 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $229.09 / $371.54
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $407.38 / $562.34
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $190.55
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $263.03 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $263.03 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $77.62 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $169.82 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $190.55 / $194.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $141.25 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $281.84 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $144.54
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $457.09 / $549.54
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $154.88 / $181.97
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $309.03 / $363.08
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $489.78
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $158.49
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $134.90 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $467.74 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $81.28 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $389.05 / $954.99