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California rates for HCPCS 70487

Computed tomography, maxillofacial area; with contrast material(s)

Facilitymedian $81 · 10th–90th $59$3390%10%20%10th90th$81Professionalmedian $170 · 10th–90th $58$5010%5%10th90th$170$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
$58.88 / $74.13 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $323.59 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $104.71 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $229.09 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $85.11 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $91.20 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $309.03 / $489.78
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $288.40 / $549.54
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $91.20 / $165.96
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $194.98 / $371.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $60.26 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $281.84 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $70.79 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $204.17 / $389.05
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $199.53 / $269.15
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $60.26 / $81.28
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $141.25 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $190.55 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $69.18 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $151.36 / $263.03
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,819.70
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $426.58 / $426.58
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $64.57 / $177.83
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $478.63
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $69.18 / $120.23
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $204.17 / $380.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $234.42 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $63.10 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $165.96 / $363.08