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Missouri rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $174 · 10th–90th $72$5130%10%20%10th90th$174Professionalmedian $170 · 10th–90th $72$4790%5%10th90th$170$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
$72.44 / $173.78 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $85.11 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $158.49 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $58.88 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $89.13 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $181.97 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $234.42 / $346.74
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $81.28 / $114.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $154.88 / $234.42
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
$199.53 / $323.59 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $208.93 / $363.08
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
$245.47 / $562.34 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $102.33 / $478.63
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $457.09 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $380.19 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $93.33 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $263.03 / $912.01