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North Carolina rates for HCPCS 77063

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

Facilitymedian $32 · 10th–90th $26$810%20%10th90th$32Professionalmedian $55 · 10th–90th $25$1260%5%10th90th$55$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
$26.30 / $32.36 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $66.07 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $50.12 / $97.72
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $56.23 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $31.62 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $48.98 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $50.12 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $18.62 / $32.36
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $63.10 / $85.11
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $45.71 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $79.43 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $43.65 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $35.48 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $48.98 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $77.62 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $41.69 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $34.67 / $63.10
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $436.52
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $229.09
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $151.36 / $204.17