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California rates for HCPCS 77063

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

Facilitymedian $37 · 10th–90th $26$1820%10%20%10th90th$37Professionalmedian $58 · 10th–90th $26$1860%5%10%10th90th$58$5.0$20.0$100.0$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
$26.30 / $36.31 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $46.77 / $120.23
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$27.54 / $67.61 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $35.48 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $54.95 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $44.67 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.96 / $31.62 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $31.62 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $114.82 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $58.88 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $56.23 / $91.20
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $158.49
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $45.71 / $83.18
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $41.69 / $77.62
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
$44.67 / $70.79 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.02 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $33.11 / $66.07
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $87.10
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $31.62 / $42.66
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $33.11 / $44.67
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $457.09 / $1,071.52
HealthNet
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $61.66 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $36.31 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $34.67 / $61.66
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $204.17 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $60.26
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $134.90
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $35.48 / $66.07
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $32.36 / $58.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $61.66 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $63.10 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $34.67 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.18 / $91.20