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Michigan rates for HCPCS 71275

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

Facilitymedian $112 · 10th–90th $105$1410%50%10th90th$112Professionalmedian $166 · 10th–90th $81$5620%10%10th90th$166$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
$104.71 / $112.20 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $97.72 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $251.19 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $102.33 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $426.58 / $457.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $186.21
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $239.88 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $457.09 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $109.65 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $309.03 / $616.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $186.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $794.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $112.20 / $302.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $275.42 / $549.54
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $794.33
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $100.00 / $165.96
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $245.47 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $398.11 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $104.71 / $562.34
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $281.84 / $512.86