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Illinois rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $78 · 10th–90th $54$1860%20%10th90th$78Professionalmedian $100 · 10th–90th $48$3470%5%10%10th90th$100$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
$53.70 / $77.62 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $239.88 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $190.55
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$69.18 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $128.82 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $51.29 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $75.86 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $158.49 / $302.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $70.79 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $147.91 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $371.54 / $1,819.70
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $104.71 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $239.88 / $1,479.11
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $63.10 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $102.33 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $234.42 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $81.28 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $151.36 / $338.84