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Illinois rates for HCPCS G0279

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

Facilitymedian $38 · 10th–90th $28$500%10%20%10th90th$38Professionalmedian $36 · 10th–90th $21$1070%10%10th90th$36$5.0$10.0$20.0$50.0$100.0$200.0$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
$27.54 / $38.02 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $29.51 / $75.86
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
$15.14 / $22.91 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $28.84 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $51.29
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 / $18.20
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $87.10 / $190.55
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $40.74 / $190.55
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $23.44 / $190.55
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $57.54
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $35.48 / $37.15
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $19.05 / $20.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $97.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $39.81 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $27.54 / $44.67