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Wisconsin rates for HCPCS 71260

Computed tomography, thorax, diagnostic; with contrast material(s)

Facilitymedian $123 · 10th–90th $107$4570%20%10th90th$123Professionalmedian $155 · 10th–90th $51$6460%10%10th90th$155$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
$58.88 / $123.03 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $331.13 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $83.18 / $467.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $199.53 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $281.84 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $91.20 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $223.87 / $660.69
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $138.04 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $169.82 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $501.19 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $128.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $323.59 / $478.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $512.86
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $123.03 / $158.49
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $251.19 / $346.74
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$407.38 / $512.86 / $851.14
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $467.74 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $199.53 / $549.54
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $331.13 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $309.03
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $467.74 / $724.44
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $138.04 / $223.87
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $371.54 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $416.87 / $1,122.02
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $501.19 / $501.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $1,096.48 / $1,949.84
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $309.03 / $446.68
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $891.25 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $1,445.44
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $229.09 / $338.84
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $575.44 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $831.76 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $281.84 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $346.74 / $891.25