go back

North Dakota 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 $115 · 10th–90th $110$1860%20%40%10th90th$115Professionalmedian $275 · 10th–90th $105$7760%5%10%10th90th$275$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
$109.65 / $114.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $181.97 / $380.19
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $338.84 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $831.76
BCBS
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$676.08 / $891.25 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $251.19 / $275.42
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $501.19 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $177.83 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $416.87 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $691.83 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $229.09 / $912.01
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $501.19 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $186.21 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $371.54 / $812.83