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Computer-Aided Lesion Detection on Breast MRI

Idaho 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)

Rates data updated July 2026.

How much does Computer-Aided Lesion Detection on Breast MRI cost?

$0.52

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $0.52 for this service. The price depends on where it is billed: about $0.52 from a physician practice, and about $0.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.52$0.52 to $0.52
FacilityA hospital or hospital-owned outpatient department$0.66$0.52 to $347

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $347Professionalmedian $1 · 10th to 90th $1 to $347
$1$10$100facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.55
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$32.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$5,011.87
Typical High
$8,511.38

Where Idaho sits

The same service costs 660.7 times more in South Dakota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 42nd of 51

$0.52

SD $347AL $0.52

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.