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Missouri rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $79 · 10th–90th $55$2340%10%20%10th90th$79Professionalmedian $93 · 10th–90th $48$2820%10%10th90th$93$10.0$50.0$200.0$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
$54.95 / $79.43 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $54.95 / $147.91
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $114.82 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $107.15 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $48.98 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $58.88 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $67.61 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $120.23 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $144.54 / $229.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $54.95 / $72.44
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $89.13 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $57.54 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $223.87 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $70.79 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $154.88 / $331.13
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$371.54 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $77.62 / $398.11
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $190.55 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $67.61 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $134.90 / $263.03