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Utah rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $129 · 10th–90th $129$1290%50%$129Professionalmedian $209 · 10th–90th $78$6460%5%10th90th$209$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $467.74 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $123.03 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $239.88 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $93.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $190.55 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $524.81
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $501.19
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $123.03 / $165.96
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $251.19 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $338.84 / $446.68
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $120.23 / $177.83
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $223.87 / $275.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $223.87 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $467.74 / $977.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $70.79 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $389.05 / $1,047.13