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California rates for HCPCS 77049

Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral

Facilitymedian $204 · 10th–90th $141$6920%10%20%10th90th$204Professionalmedian $380 · 10th–90th $135$1,2300%5%10th90th$380$10.0$50.0$200.0$1.0K$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
$141.25 / $190.55 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $181.97 / $575.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $338.84 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $204.17 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $199.53 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $537.03 / $851.14
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $616.60 / $1,148.15
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $169.82 / $309.03
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $446.68 / $851.14
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $125.89 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $489.78 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $134.90 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $338.84 / $724.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $446.68 / $602.56
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $120.23 / $162.18
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $331.13 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $426.58 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $141.25 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $371.54 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,884.03 / $2,884.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$691.83 / $891.25 / $891.25
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,659.59 / $2,041.74 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $128.82 / $407.38
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $501.19 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $125.89 / $245.47
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $316.23 / $660.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $575.44 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $109.65 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $426.58 / $1,148.15