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Computer-Aided Lesion Detection on Breast MRI

Massachusetts 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 October 2026.

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

$0.52

Typical negotiated rate. In Massachusetts, October 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 $3,467 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.52$0.52 to $58.88
FacilityA hospital or hospital-owned outpatient department$3,467$2,951 to $4,898

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,995 to $5,888Professionalmedian $1 · 10th to 90th $1 to $59
$1$10$100$1K$10Kfacility $3,467professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$5,128.61
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts sits

The same service costs 977.2 times more in Kansas than in Utah. 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.

Massachusetts· 48th of 51

$0.52

KS $513UT $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.