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Washington rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $87 · 10th–90th $58$1410%20%10th90th$87Professionalmedian $123 · 10th–90th $49$3890%5%10%10th90th$123$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
$57.54 / $67.61 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $239.88 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $57.54 / $190.55
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $165.96 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $275.42 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $79.43 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $162.18 / $194.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $416.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $107.15 / $151.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $186.21 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $302.00 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $81.28 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $204.17 / $380.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $100.00 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $95.50 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $208.93 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $56.23
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $112.20 / $275.42
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $398.11
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $104.71 / $147.91
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $186.21 / $251.19
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $288.40 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $107.15 / $144.54
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $186.21 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $239.88 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $70.79 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $158.49 / $309.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $158.49 / $295.12
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $57.54 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $102.33 / $194.98