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Wisconsin rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $178 · 10th–90th $115$6920%10%20%10th90th$178Professionalmedian $224 · 10th–90th $79$7590%5%10th90th$224$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$114.82 / $114.82 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $112.20 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $194.98 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $371.54 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $114.82 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $251.19 / $831.76
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $229.09 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $199.53 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $407.38 / $616.60
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $489.78 / $660.69
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $165.96 / $223.87
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $323.59 / $436.52
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
$295.12 / $812.83 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $158.49 / $478.63
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $660.69 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $575.44 / $1,023.29
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $199.53 / $302.00
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $380.19 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $512.86 / $741.31
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $691.83 / $691.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $1,230.27 / $1,479.11
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $398.11 / $478.63
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $831.76 / $1,000.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,412.54 / $1,905.46
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$354.81 / $478.63 / $549.54
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $891.25 / $1,737.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $354.81 / $575.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $416.87 / $1,412.54