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Computer-Aided Lesion Detection on Breast MRI

New York 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 facility fee. In New York, July 2026.

Insurers have agreed to pay about $0.52 for this service. Most negotiated rates run $0.52 to $0.54.

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.

How much rates vary

Facilitymedian $234 · 10th to 90th $1 to $447Professionalmedian $1 · 10th to 90th $1 to $59
$1$10$100$1Kfacility $234professional $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
$0.52
Median
$234.42
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$407.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76

Where New York 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.

New York· 17th 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.