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Computer-Aided Lesion Detection on Breast MRI

Texas 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 Texas, 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 $32.36 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 8 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$32.36$0.89 to $75.86

How much rates vary

Facilitymedian $32 · 10th to 90th $1 to $363Professionalmedian $1 · 10th to 90th $1 to $59
$1$10$100$1Kfacility $32professional $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
$346.74
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$41.69
Typical High
$77.62
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
$457.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93

Where Texas 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.

Texas· 38th 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.