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Virginia rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $79 · 10th–90th $46$2190%10%20%10th90th$79Professionalmedian $95 · 10th–90th $48$2750%10%10th90th$95$10.0$50.0$200.0$1.0K$5.0K

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
$45.71 / $79.43 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $199.53 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $56.23 / $165.96
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$85.11 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $123.03 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $181.97 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $64.57 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $114.82 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $190.55 / $891.25
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $69.18 / $100.00
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $123.03 / $186.21
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $177.83 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $154.88 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $56.23 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $100.00 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $436.52 / $457.09
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $102.33 / $109.65
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $213.80 / $1,174.90
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $69.18 / $112.20
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $177.83 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $218.78 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $147.91 / $346.74