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Washington 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 $182 · 10th–90th $123$3550%10%20%10th90th$182Professionalmedian $347 · 10th–90th $112$1,0470%10%10th90th$347$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
$123.03 / $141.25 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $537.03 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $194.98 / $588.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$457.09 / $707.95 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $371.54 / $1,445.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $660.69 / $1,000.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $169.82 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $398.11 / $489.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $977.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $229.09 / $316.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $489.78 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $741.31 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $173.78 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $549.54 / $1,122.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $213.80 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $776.25 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $199.53 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $562.34 / $954.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $138.04
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $676.08
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $147.91
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $691.83 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $223.87 / $316.23
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $478.63 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $977.24
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $229.09 / $309.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $478.63 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $131.83 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $407.38 / $1,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $380.19 / $707.95
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $123.03 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $257.04 / $489.78