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Texas rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $63 · 10th–90th $50$4790%20%10th90th$63Professionalmedian $162 · 10th–90th $66$4680%5%10th90th$162$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
$47.86 / $54.95 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $234.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $75.86 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $151.36 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $181.97 / $257.04
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $79.43 / $79.43
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
$194.98 / $295.12 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $87.10 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $181.97 / $354.81
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,862.09 / $1,862.09
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $602.56 / $602.56
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,000.00 / $1,258.93 / $1,258.93
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $67.61 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $275.42 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $87.10 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $173.78 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $181.97
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $204.17 / $426.58
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.62 / $87.10 / $123.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $562.34
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $79.43 / $144.54
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $169.82 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $489.78 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $81.28 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $346.74 / $812.83
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $218.78 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $74.13 / $89.13
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $141.25 / $169.82