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South Dakota rates for HCPCS 70491

Computed tomography, soft tissue neck; with contrast material(s)

Facilitymedian $68 · 10th–90th $48$680%50%10th$68Professionalmedian $132 · 10th–90th $62$3890%10%10th90th$132$20.0$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
$47.86 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $239.88 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $75.86 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $229.09 / $562.34
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $151.36 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $295.12 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $354.81 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $125.89 / $194.98
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $251.19 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $398.11 / $457.09
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $138.04 / $162.18
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $263.03 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $363.08 / $446.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $107.15 / $125.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $234.42 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $117.49 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $257.04 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $426.58 / $426.58
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $147.91 / $147.91
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $275.42 / $275.42