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California rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $65 · 10th–90th $49$3240%10%20%10th90th$65Professionalmedian $117 · 10th–90th $48$3980%10%10th90th$117$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
$48.98 / $61.66 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $245.47 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $58.88 / $190.55
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$100.00 / $630.96 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $199.53 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $57.54 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $79.43 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $81.28 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $281.84 / $436.52
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $549.54
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $83.18 / $154.88
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $199.53 / $380.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $57.54 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $257.04 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $64.57 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $181.97 / $354.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $234.42
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $56.23 / $75.86
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $117.49 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $169.82 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $66.07 / $107.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $125.89 / $218.78
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $1,659.59 / $1,659.59
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $61.66 / $154.88
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $269.15 / $436.52
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $60.26 / $107.15
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $177.83 / $354.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $204.17 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $61.66 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $147.91 / $354.81