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Ohio rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $68 · 10th–90th $52$1000%20%40%10th90th$68Professionalmedian $98 · 10th–90th $48$3090%10%10th90th$98$1.0$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
$52.48 / $67.61 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $54.95 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $120.23 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $109.65 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $60.26 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $64.57 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $74.13 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $208.93 / $354.81
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $162.18 / $251.19
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $63.10 / $97.72
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $97.72 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $100.00 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $234.42 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $69.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $158.49 / $331.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $57.54 / $83.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $194.98 / $416.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $70.79 / $134.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $138.04 / $309.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $97.72
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $151.36 / $288.40
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $63.10 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $60.26 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $190.55 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $61.66 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $117.49 / $257.04