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Minnesota rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $155 · 10th–90th $48$3550%10%10th90th$155Professionalmedian $120 · 10th–90th $48$3720%5%10%10th90th$120$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
$47.86 / $52.48 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $56.23 / $162.18
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 / $117.49 / $316.23
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $42.66 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $489.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $125.89 / $181.97
BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $223.87 / $302.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $181.97 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $263.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $97.72 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $165.96 / $363.08
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $181.97 / $354.81
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $478.63
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $138.04
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $131.83 / $331.13
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $398.11 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $134.90 / $446.68
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $234.42 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $245.47 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $144.54 / $446.68
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $239.88 / $758.58