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Indiana rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $66 · 10th–90th $52$910%10%20%10th90th$66Professionalmedian $98 · 10th–90th $48$3020%10%10th90th$98$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
$52.48 / $66.07 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $218.78 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $54.95 / $165.96
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
$77.62 / $117.49 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $123.03 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $47.86 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $60.26 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $75.86 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $165.96 / $295.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $263.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $70.79 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $177.83 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $213.80 / $407.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $60.26 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $141.25 / $323.59