go back

Utah rates for HCPCS 70552

Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)

Facilitymedian $129 · 10th–90th $129$5500%50%90th$129Professionalmedian $263 · 10th–90th $85$6030%5%10th90th$263$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $141.25 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $338.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $512.86 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $104.71 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $371.54 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $467.74 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $138.04 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $323.59 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $436.52 / $912.01
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $194.98 / $407.38
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $239.88 / $380.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $302.00 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $457.09 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $77.62 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $281.84 / $676.08