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CT Scan Of The Face And Jaw, Without Contrast

South Dakota rates for HCPCS 70486

This is a CT scan of the maxillofacial area, which includes the bones and soft tissue of the face, jaw, and sinuses, performed without contrast dye. It's used to evaluate injuries, infections, sinus disease, or structural problems in this region. Cross-sectional images give a more detailed view than a standard X-ray.

Rates data updated October 2026.

How much does CT Scan Of The Face And Jaw, Without Contrast cost?

$288

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $1,905 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$214 to $309
FacilityA hospital or hospital-owned outpatient department$1,905$417 to $2,692

How much rates vary

Facilitymedian $1,905 · 10th to 90th $204 to $3,020Professionalmedian $263 · 10th to 90th $158 to $380
$200$500$1K$2Kfacility $1,905professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$2,290.87
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$138.04
Typical High
$269.15
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$42.66
Typical High
$63.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$95.50
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$316.23
Typical High
$389.05
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$100.00
Typical High
$117.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$218.78
Typical High
$275.42
Medica
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$407.38
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$257.04
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$79.43
Typical High
$331.13
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$177.83
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$309.03
Typical High
$309.03
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$208.93
Typical High
$208.93
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$239.88
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$69.18
Typical High
$77.62
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$154.88
Typical High
$204.17
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$257.04
Typical High
$295.12
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$77.62
Typical High
$91.20
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$177.83
Typical High
$229.09
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$288.40
Typical High
$288.40
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$89.13
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$199.53
Typical High
$199.53

Where South Dakota sits

The same service costs 4.9 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 6th of 51

$288

AK $513UT $105

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.