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New York rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $63 · 10th–90th $51$1380%20%40%10th90th$63Professionalmedian $100 · 10th–90th $48$3160%10%10th90th$100$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$51.29 / $63.10 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $213.80 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $54.95 / $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
$77.62 / $123.03 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $104.71 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $40.74 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $169.82 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $107.15 / $302.00
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $125.89 / $199.53
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
$134.90 / $302.00 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $77.62 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $199.53 / $724.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $186.21 / $288.40
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $70.79 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $120.23 / $181.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $213.80 / $338.84
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $74.13 / $128.82
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $144.54 / $218.78
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $60.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $165.96 / $331.13
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $60.26 / $117.49
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $102.33 / $117.49
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $218.78 / $354.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $77.62 / $134.90
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $134.90 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $204.17 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $72.44 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $128.82 / $575.44
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $60.26 / $186.21
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $204.17 / $389.05
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $74.13 / $147.91
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $138.04 / $245.47