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Texas rates for HCPCS G0279

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

Facilitymedian $21 · 10th–90th $16$1820%20%10th90th$21Professionalmedian $32 · 10th–90th $19$710%10%10th90th$32$1.0$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
$15.85 / $19.05 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $28.18 / $60.26
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $21.88 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $30.20 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $31.62 / $37.15
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $83.18
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $29.51 / $29.51
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 / $42.66
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
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
$53.70 / $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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.60 / $21.38 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $30.20 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $21.88 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $32.36 / $38.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $38.02 / $81.28
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.75 / $26.92 / $38.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $100.00
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
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $61.66 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $33.88 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $27.54 / $42.66
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $48.98
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $12.59 / $15.14