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Idaho rates for HCPCS 70553

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences

Facilitymedian $363 · 10th–90th $141$4170%20%40%10th90th$363Professionalmedian $331 · 10th–90th $112$7590%5%10th90th$331$20.0$100.0$500.0$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
$141.25 / $281.84 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $537.03 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $190.55 / $389.05
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$239.88 / $478.63 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $354.81 / $870.96
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $588.84 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $204.17 / $288.40
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $389.05 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $446.68 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $128.82 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $263.03 / $831.76
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,398.83 / $2,398.83
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $1,479.11 / $1,479.11
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $398.11 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $630.96 / $1,230.27
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $208.93 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$239.88 / $489.78 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $426.58 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $676.08 / $794.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $218.78 / $263.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $457.09 / $537.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $263.03
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $218.78 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,174.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $117.49 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $398.11 / $933.25