go back

Rhode Island rates for HCPCS 77063

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

Professionalmedian $50 · 10th–90th $22$1260%5%10th90th$50$20.0$50.0$100.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $43.65 / $95.50
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$14.79 / $42.66 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.12 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $114.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $35.48 / $61.66
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $28.18 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $77.62 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $42.66 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $37.15 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $85.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $34.67 / $45.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $30.20 / $38.90