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Wisconsin 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 $288 · 10th–90th $229$5620%20%40%10th90th$288Professionalmedian $372 · 10th–90th $105$1,5490%5%10th90th$372$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$229.09 / $288.40 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $234.42 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$218.78 / $239.88 / $707.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $371.54 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $602.56 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $165.96 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $436.52 / $1,258.93
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $257.04 / $398.11
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$281.84 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,096.48 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $257.04 / $436.52
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $724.44 / $977.24
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $707.95 / $977.24
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $239.88 / $323.59
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $478.63 / $660.69
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,096.48 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $371.54 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $707.95 / $5,495.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $724.44
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $870.96 / $1,318.26
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $257.04 / $436.52
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $724.44 / $1,230.27
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $794.33 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$251.19 / $1,000.00 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $3,548.13 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $562.34 / $912.01
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $3,162.28 / $5,754.40
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,630.27 / $4,570.88
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,412.54
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,819.70 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,548.82 / $2,511.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $436.52 / $831.76
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $758.58 / $1,698.24