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Texas rates for HCPCS 70487

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

Facilitymedian $55 · 10th–90th $44$3390%20%10th90th$55Professionalmedian $129 · 10th–90th $52$3240%5%10th90th$129$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
$43.65 / $53.70 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $199.53 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $66.07 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $125.89 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $151.36 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $56.23 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $120.23 / $169.82
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $281.84
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $53.70
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
$138.04 / $251.19 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $70.79 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $173.78 / $346.74
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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$43.65 / $53.70 / $70.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $234.42 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $69.18 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $141.25 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $125.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $158.49 / $575.44
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $61.66 / $89.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $251.19 / $457.09
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $69.18 / $112.20
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $165.96 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $58.88 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $151.36 / $281.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $151.36 / $181.97
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $53.70 / $63.10
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $100.00 / $117.49