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Wisconsin rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $115 · 10th–90th $100$2630%20%10th90th$115Professionalmedian $126 · 10th–90th $48$5500%10%10th90th$126$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
$54.95 / $114.82 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $275.42 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $63.10 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $162.18 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $234.42 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $85.11 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $169.82 / $512.86
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $100.00 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $158.49 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $398.11 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $117.49 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $251.19 / $346.74
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $302.00 / $416.87
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $112.20 / $151.36
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $186.21 / $263.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$380.19 / $478.63 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $389.05 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $151.36 / $478.63
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $251.19 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $245.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $371.54 / $575.44
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $114.82 / $204.17
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $281.84 / $446.68
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $954.99
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $467.74 / $467.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $933.25 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $288.40 / $398.11
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $741.31 / $1,380.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $851.14 / $1,148.15
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $199.53 / $275.42
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $446.68 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $602.56 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $257.04 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $295.12 / $724.44