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Washington rates for HCPCS 71275

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

Facilitymedian $151 · 10th–90th $98$3090%10%20%10th90th$151Professionalmedian $219 · 10th–90th $83$7080%10%10th90th$219$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
$97.72 / $112.20 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $97.72 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $269.15 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $512.86 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $134.90 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $870.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $181.97 / $251.19
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $446.68 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $575.44 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $144.54 / $257.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $426.58 / $741.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $169.82 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $616.60 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $162.18 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $457.09 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $128.82
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $741.31
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $117.49
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $831.76
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $177.83 / $251.19
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $436.52 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $181.97 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $436.52 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $436.52 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $104.71 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $323.59 / $602.56
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $316.23 / $588.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $97.72 / $173.78
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $218.78 / $416.87