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Rhode Island rates for HCPCS 70487

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

Facilitymedian $316 · 10th–90th $316$3160%50%100%$316Professionalmedian $135 · 10th–90th $52$3800%10%10th90th$135$50.0$100.0$200.0$500.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $295.12 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $169.82 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $416.87
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $64.57 / $128.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $128.82 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $338.84 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $100.00 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $229.09 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $239.88 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $63.10 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $158.49 / $251.19