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Illinois 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 $174 · 10th–90th $115$3390%20%10th90th$174Professionalmedian $309 · 10th–90th $112$9330%5%10%10th90th$309$1.0$5.0$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
$114.82 / $173.78 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $562.34 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $194.98 / $549.54
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$138.04 / $218.78 / $676.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $263.03 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $109.65 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $165.96 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $380.19 / $912.01
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $537.03 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $154.88 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $371.54 / $1,122.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,023.29 / $3,981.07
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $218.78 / $1,023.29
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $630.96 / $3,090.30
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $389.05 / $426.58
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $134.90 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $257.04 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,584.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $380.19 / $1,122.02