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North Dakota rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $52 · 10th–90th $40$870%20%10th90th$52Professionalmedian $110 · 10th–90th $47$2880%10%20%10th90th$110$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $52.48 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $186.21 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $51.29 / $147.91
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $125.89 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $346.74
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $117.49 / $131.83
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $194.98 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $257.04 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $77.62 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $162.18 / $288.40
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
$162.18 / $309.03 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $107.15 / $398.11
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $223.87 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $245.47 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $91.20 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $154.88 / $263.03