go back

Minnesota rates for HCPCS 77063

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

Facilitymedian $85 · 10th–90th $27$2000%10%10th90th$85Professionalmedian $60 · 10th–90th $27$1350%5%10th90th$60$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
$26.92 / $28.84 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $70.79 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $46.77 / $83.18
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $43.65 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $34.67 / $67.61
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $23.99 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $131.83 / $190.55
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $70.79 / $102.33
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $64.57 / $87.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $102.33 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $102.33 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $53.70 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $46.77 / $74.13
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $100.00 / $199.53
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $141.25
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $70.79
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $37.15 / $66.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $141.25 / $169.82
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $64.57 / $85.11
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$69.18 / $83.18 / $128.82
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $46.77 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $95.50 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $85.11 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $85.11 / $85.11