go back

Texas rates for HCPCS 77063

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

Facilitymedian $24 · 10th–90th $19$1820%20%10th90th$24Professionalmedian $43 · 10th–90th $21$1120%5%10th90th$43$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
$18.62 / $23.99 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $33.11 / $95.50
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $57.54 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $25.12 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $27.54 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.00 / $10.23 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $19.50 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $40.74 / $61.66
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $66.07 / $89.13
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $58.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $33.11 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $27.54 / $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
$63.10 / $331.13 / $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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.62 / $23.99 / $40.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $61.66 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $34.67 / $75.86
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$25.70 / $57.54 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $27.54 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $44.67
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $47.86 / $93.33
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.08 / $33.11 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $120.23
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $30.90 / $53.70
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.70 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $33.88 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $28.18 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $51.29 / $61.66
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $28.18 / $33.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $23.44 / $27.54