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Minnesota rates for HCPCS 73201

Computed tomography, upper extremity; with contrast material(s)

Facilitymedian $178 · 10th–90th $56$3980%10%10th90th$178Professionalmedian $214 · 10th–90th $69$5370%5%10th90th$214$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
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $245.47 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $81.28 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $190.55 / $380.19
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $724.44
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $134.90 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $389.05 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $194.98 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $398.11 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $104.71 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $295.12 / $489.78
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $194.98 / $380.19
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $562.34
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $147.91
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $229.09 / $416.87
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $416.87 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $107.15 / $346.74
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $309.03 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $316.23 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $169.82 / $446.68
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $302.00 / $512.86