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Minnesota rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $123 · 10th–90th $39$2820%10%10th90th$123Professionalmedian $138 · 10th–90th $42$3980%5%10th90th$138$10.0$50.0$200.0$1.0K

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
$38.90 / $40.74 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $61.66 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $158.49 / $331.13
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $34.67 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $467.74
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $144.54
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $239.88 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $144.54 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $75.86 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $177.83 / $371.54
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $144.54 / $281.84
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $416.87
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $107.15
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $138.04 / $323.59
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $354.81 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $100.00 / $331.13
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$229.09 / $229.09 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $194.98 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $331.13 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $109.65 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $239.88 / $724.44