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Computer-Aided Lesion Detection on Breast MRI

Ohio 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.

Facilitymedian $347 · 10th–90th $1$7240%20%40%10th90th$347Professionalmedian $1 · 10th–90th $1$3470%50%90th$1$1.0$5.0$20.0$100.0$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
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$346.74
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$91.20
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88