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Washington rates for HCPCS 77063

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

Facilitymedian $51 · 10th–90th $32$810%20%10th90th$51Professionalmedian $56 · 10th–90th $25$1660%5%10th90th$56$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
$32.36 / $45.71 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $44.67 / $151.36
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $83.18 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $29.51 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $74.13 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $43.65 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$21.88 / $26.30 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $45.71 / $54.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $154.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $60.26 / $83.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $50.12 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $91.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $48.98 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $42.66 / $74.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $56.23 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $100.00 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $52.48 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $45.71 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $53.70 / $66.07
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.90 / $38.90
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $151.36
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $83.18
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $50.12 / $69.18
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $58.88 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $50.12 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $72.44 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $39.81 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $33.11 / $69.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $60.26 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $32.36 / $57.54
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $28.84 / $54.95