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Ohio 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$1660%20%10th90th$115Professionalmedian $170 · 10th–90th $79$4790%20%10th90th$170$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $371.54 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $229.09 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $229.09 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $104.71 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $245.47 / $407.38
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $524.81
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $107.15 / $165.96
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $234.42 / $363.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $223.87 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $302.00 / $645.65
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $141.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $380.19 / $812.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $123.03 / $251.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $288.40 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $489.78
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $107.15 / $181.97
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $141.25 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $100.00 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $245.47 / $501.19