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Tennessee rates for HCPCS 77063

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

Facilitymedian $36 · 10th–90th $25$1820%10%20%10th90th$36Professionalmedian $47 · 10th–90th $23$1070%5%10%10th90th$47$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
$24.55 / $35.48 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $63.10 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $42.66 / $85.11
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$15.85 / $42.66 / $104.71
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.18 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $29.51 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$13.18 / $13.18 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.45 / $31.62 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $60.26 / $117.49
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $43.65 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $34.67 / $56.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $69.18 / $114.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.90 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $30.90 / $51.29
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
$331.13 / $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
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $67.61 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.02 / $63.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $29.51 / $47.86