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Washington, DC rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $132 · 10th–90th $45$3310%20%10th90th$132Professionalmedian $95 · 10th–90th $48$3020%10%10th90th$95$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
$44.67 / $131.83 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $218.78 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $56.23 / $169.82
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $120.23 / $380.19
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $190.55 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $60.26 / $117.49
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $123.03 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $288.40 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $66.07 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $190.55 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $53.70 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $97.72 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $194.98 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $123.03 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $128.82 / $1,000.00