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North Dakota rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $79 · 10th–90th $78$1290%20%40%10th90th$79Professionalmedian $204 · 10th–90th $79$5130%5%10th90th$204$50.0$100.0$200.0$500.0$1.0K

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
$77.62 / $79.43 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $100.00 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $190.55 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $512.86 / $575.44
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $173.78 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $338.84 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $112.20 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $251.19 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $870.96 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $147.91 / $478.63
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $741.31 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $446.68 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $134.90 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $457.09 / $933.25