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Nationwide rates for HCPCS C8937

Computer-aided detection, including computer algorithm analysis of breast MRI image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)

Facilitymedian $76 · 10th–90th $1–$7240%10%10th90th$76Professionalmedian $347 · 10th–90th $59–$3470%50%10th$347$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Typical Low / Median / Typical High
$30.20 / $323.59 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $346.74 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $40.74 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $83.18

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