go back

South 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 $110 · 10th–90th $110$1100%50%$110Professionalmedian $251 · 10th–90th $102$7240%10%20%10th90th$251$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
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $524.81 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $162.18 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $302.00 / $3,715.35
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $562.34 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $251.19 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $524.81 / $660.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $645.65 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $213.80 / $323.59
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $457.09 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $691.83 / $831.76
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $229.09 / $263.03
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $457.09 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $630.96 / $1,000.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $181.97 / $208.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $416.87 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $676.08 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $194.98 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $467.74 / $660.69
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $851.14 / $851.14
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $281.84 / $281.84
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $562.34 / $562.34