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Illinois rates for HCPCS 71275

Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $126 · 10th–90th $91$2630%20%10th90th$126Professionalmedian $162 · 10th–90th $81$5620%10%10th90th$162$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
$91.20 / $125.89 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $95.50 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $239.88 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $87.10 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $169.82 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $309.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $123.03 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $309.03 / $602.56
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $2,187.76
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $616.60
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $407.38 / $1,621.81
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $346.74 / $371.54
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $107.15 / $114.82
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $239.88 / $263.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $457.09 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $138.04 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $316.23 / $602.56