go back

Ohio 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 $145 · 10th–90th $112$2140%20%10th90th$145Professionalmedian $288 · 10th–90th $110$7760%10%10th90th$288$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
$112.20 / $144.54 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $177.83 / $407.38
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$218.78 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $338.84 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $263.03 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $107.15 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $165.96 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $154.88 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $354.81 / $602.56
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $389.05 / $602.56
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $134.90 / $208.93
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $251.19 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $245.47 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $562.34 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $147.91 / $257.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $389.05 / $1,122.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.30 / $123.03 / $177.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $467.74 / $1,174.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $158.49 / $309.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $354.81 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $223.87
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $269.15 / $575.44
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $128.82 / $229.09
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $131.83 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $123.03 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $281.84 / $933.25