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North Carolina rates for HCPCS 71275

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

Facilitymedian $115 · 10th–90th $87$2950%20%10th90th$115Professionalmedian $204 · 10th–90th $81$6310%10%10th90th$204$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
$87.10 / $114.82 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $95.50 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $229.09 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $147.91 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $154.88 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $208.93 / $263.03
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $630.96 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $588.84 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $134.90 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $426.58 / $794.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $263.03 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $489.78 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $112.20 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $371.54 / $588.84
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $1,000.00
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23