go back

Vermont rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $339 · 10th–90th $339$3390%50%100%$339Professionalmedian $110 · 10th–90th $48$2630%10%10th90th$110$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
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $69.18 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $165.96 / $257.04
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $138.04 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $354.81 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $75.86 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $229.09 / $478.63
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $223.87 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $77.62 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $138.04 / $331.13