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Montana 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 $209 · 10th–90th $170$4370%20%10th90th$209Professionalmedian $324 · 10th–90th $107$9550%10%10th90th$324$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $204.17 / $524.81
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$457.09 / $489.78 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $398.11 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $676.08 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $169.82 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $501.19 / $870.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $588.84 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $208.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $933.25
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $169.82 / $251.19
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $363.08 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $102.33 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $389.05 / $891.25