go back

Michigan rates for HCPCS G0279

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

Facilitymedian $30 · 10th–90th $29$370%50%10th90th$30Professionalmedian $42 · 10th–90th $22$1200%5%10%10th90th$42$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
$28.84 / $29.51 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $31.62 / $79.43
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
$15.85 / $23.99 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $34.67 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $30.20 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $66.07 / $70.79
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $21.38 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $36.31 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $63.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $39.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $11.75 / $31.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $29.51 / $61.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $58.88 / $141.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $30.90 / $66.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $22.91 / $52.48
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $67.61
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $48.98
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $11.75 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $37.15 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $26.92 / $56.23