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Montana rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $98 · 10th–90th $79$4070%20%40%10th90th$98Professionalmedian $95 · 10th–90th $48$3160%10%10th90th$95$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $245.47 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $56.23 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $199.53 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $75.86 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $173.78 / $295.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $354.81
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $97.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $371.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $79.43 / $117.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $162.18 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $57.54 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $158.49 / $275.42