go back

Montana rates for HCPCS 70488

Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $93 · 10th–90th $93$1150%20%40%90th$93Professionalmedian $200 · 10th–90th $71$4680%5%10%10th90th$200$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
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $363.08 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $107.15 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $218.78 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $295.12
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $93.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $251.19 / $467.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $588.84
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $512.86
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $93.33 / $138.04
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $213.80 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $309.03 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $63.10 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $213.80 / $363.08