go back

Virginia rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $68 · 10th–90th $36$1620%10%10th90th$68Professionalmedian $107 · 10th–90th $40$2820%5%10th90th$107$10.0$50.0$200.0$1.0K$5.0K

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
$36.31 / $67.61 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $199.53 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $54.95 / $177.83
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$100.00 / $741.31 / $870.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $128.82 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $177.83 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $52.48 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $120.23 / $199.53
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $181.97 / $741.31
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $52.48 / $74.13
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $131.83 / $181.97
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $239.88 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $60.26 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $173.78 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $151.36 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $45.71 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $107.15 / $141.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $371.54 / $380.19
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $87.10 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $223.87
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $208.93 / $724.44
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $64.57 / $102.33
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $177.83 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $199.53 / $398.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $52.48 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $141.25 / $309.03