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California rates for HCPCS G0279

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Facilitymedian $38 · 10th–90th $26$1820%10%10th90th$38Professionalmedian $48 · 10th–90th $23$1820%5%10th90th$48$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $36.31 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $66.07 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $31.62 / $81.28
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$33.11 / $309.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $25.70 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $50.12 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $24.55 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $114.82 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $58.88 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $54.95 / $89.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $85.11 / $158.49
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $35.48 / $74.13
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $33.11 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.61 / $30.90 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $57.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $50.12 / $67.61
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $31.62 / $42.66
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $22.39 / $25.12
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $48.98 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $36.31 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $18.62 / $33.88
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $363.08 / $363.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $117.49
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $56.23 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $33.88 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $27.54 / $63.10