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Rhode Island rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $245 · 10th–90th $245$2450%50%100%$245Professionalmedian $100 · 10th–90th $48$3390%10%10th90th$100$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
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $245.47 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $52.48 / $169.82
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $162.18 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $194.98 / $363.08
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $63.10 / $100.00
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $104.71 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $295.12 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $83.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $190.55 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $229.09 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $61.66 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $144.54 / $234.42