go back

Utah rates for HCPCS 70488

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

Facilitymedian $78 · 10th–90th $78$780%50%$78Professionalmedian $178 · 10th–90th $62$4170%5%10th90th$178$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $72.44 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $181.97 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $79.43 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $234.42 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $309.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $97.72 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $218.78 / $467.74
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $281.84 / $436.52
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $123.03 / $147.91
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $158.49 / $251.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $199.53 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $61.66 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $194.98 / $407.38