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Illinois rates for HCPCS 77063

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

Facilitymedian $36 · 10th–90th $26$850%20%10th90th$36Professionalmedian $51 · 10th–90th $25$1380%5%10th90th$51$2.0$10.0$50.0$200.0$1.0K

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
$25.70 / $36.31 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $46.77 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$26.30 / $50.12 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $29.51 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $41.69 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $28.18 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $26.30 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $72.44 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $39.81 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $33.11 / $48.98
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $109.65 / $302.00
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $81.28 / $194.98
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $46.77 / $186.21
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $67.61
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $35.48 / $37.15
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $28.84 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $81.28 / $134.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $45.71 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $36.31 / $85.11