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Wyoming rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $72 · 10th–90th $72–$720%50%100%$72Professionalmedian $295 · 10th–90th $89–$8910%5%10th90th$295$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
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $295.12 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $114.82 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $208.93 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $891.25 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $295.12 / $562.34
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $588.84 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $158.49 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $676.08 / $2,344.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $144.54 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $524.81 / $2,089.30