go back

California rates for HCPCS 70551

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $175.00 / $430.77
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$95.00 / $290.64 / $592.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.21 / $475.00 / $1,701.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.59 / $140.00 / $411.47
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$101.66 / $237.50 / $644.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.08 / $335.00 / $680.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.71 / $211.10 / $1,058.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.20 / $79.11 / $156.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.24 / $173.57 / $280.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.89 / $538.11 / $974.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.20 / $94.99 / $186.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.77 / $447.83 / $796.11
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.13 / $291.18 / $708.84
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.73 / $90.00 / $215.96
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.36 / $202.89 / $485.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$45.11 / $45.11 / $45.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.03 / $422.46 / $873.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.63 / $86.06 / $196.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.96 / $312.14 / $699.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.16 / $255.80 / $345.33
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $77.42 / $104.52
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.21 / $178.38 / $240.81
HealthNet
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.99 / $110.99 / $152.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.99 / $275.95 / $496.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.68 / $100.65 / $400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.10 / $216.97 / $476.27
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$638.88 / $638.88 / $656.72
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$84.87 / $285.58 / $285.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.81 / $2,958.99 / $2,958.99
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$584.49 / $584.49 / $584.49
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,498.98 / $2,573.94 / $2,573.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $147.31
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Providence
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$45.11 / $45.11 / $45.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.05 / $441.77 / $761.07
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $84.53 / $190.13
Providence
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$237.36 / $237.36 / $237.95
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.96 / $333.18 / $678.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.97 / $741.97 / $741.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$241.78 / $241.78 / $241.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$500.18 / $500.18 / $500.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.86 / $284.44 / $1,243.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $339.96 / $758.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.25 / $76.15 / $180.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.91 / $245.32 / $575.89