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North Carolina rates for HCPCS G0279

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

Facilitymedian $30 · 10th–90th $29$440%50%10th90th$30Professionalmedian $44 · 10th–90th $22$1050%5%10%10th90th$44$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 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $30.20 / $81.28
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.90 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $22.91 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $89.13 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $52.48 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $66.07 / $85.11
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $43.65 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $46.77
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
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $39.81 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $72.44 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $31.62 / $51.29
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $363.08 / $363.08
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $229.09 / $229.09
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36