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New Jersey rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $363 · 10th–90th $102$7590%5%10%10th90th$363Professionalmedian $178 · 10th–90th $72$4790%5%10th90th$178$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
$102.33 / $363.08 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $104.71 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $186.21 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $309.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $95.50 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $204.17 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $100.00 / $120.23
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $208.93 / $245.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $416.87
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $77.62 / $125.89
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $177.83 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $977.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $89.13 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $223.87 / $891.25