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Idaho rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $132 · 10th–90th $66$1450%20%40%10th90th$132Professionalmedian $117 · 10th–90th $48$2950%5%10%10th90th$117$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$66.07 / $131.83 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $245.47 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $66.07 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $169.82 / $363.08
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $245.47 / $346.74
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $95.50 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $151.36 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $194.98 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $63.10 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $112.20 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $977.24
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$436.52 / $446.68 / $446.68
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $281.84 / $537.03
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $134.90 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $93.33 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $177.83 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $89.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $104.71 / $125.89
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $177.83 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $125.89 / $426.58
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $114.82
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $85.11 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $199.53 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $58.88 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $158.49 / $275.42