go back

Arizona rates for HCPCS 77063

Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)

Facilitymedian $102 · 10th–90th $32$1380%20%10th90th$102Professionalmedian $50 · 10th–90th $24$1410%5%10th90th$50$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$32.36 / $102.33 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $66.07 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $43.65 / $104.71
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$15.85 / $47.86 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.84 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.91 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $16.98 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $79.43
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $27.54 / $43.65
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.38 / $87.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $35.48 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $29.51 / $52.48
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $66.07 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $35.48 / $181.97
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.02 / $154.88 / $158.49
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $29.51 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $66.07 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $35.48 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $29.51 / $75.86