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Utah rates for HCPCS 71275

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

Facilitymedian $550 · 10th–90th $107$5500%50%10th$550Professionalmedian $158 · 10th–90th $79$4680%10%10th90th$158$20.0$50.0$100.0$200.0$500.0$1.0K$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
$107.15 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $371.54 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $309.03 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $107.15 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $309.03 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $616.60
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $338.84 / $575.44
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $660.69
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $177.83 / $269.15
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $251.19 / $398.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $302.00 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $380.19 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $83.18 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $257.04 / $549.54