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Utah rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $112 · 10th–90th $56$3240%20%10th90th$112Professionalmedian $100 · 10th–90th $46$3020%10%10th90th$100$10.0$50.0$200.0$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
$56.23 / $112.20 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $223.87 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $56.23 / $162.18
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $199.53 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $169.82 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $281.84
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $223.87 / $398.11
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $83.18 / $112.20
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $141.25 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $208.93 / $323.59
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $104.71 / $173.78
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $104.71 / $165.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $138.04 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $199.53 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $50.12 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $138.04 / $288.40