CT scan of face and jaw with contrast dye

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT MAXILLOFACIAL W/CONTRAST

Payers reporting CPT 70487

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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#
1	UnitedHealthcare fee schedule · outpatient · +40 other terms	793	$333.35	$408.24	$1.00 – $6,735
2	Aetna fee schedule · outpatient · +40 other terms	628	$290.80	$675.49	$0.51 – $8,450
3	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	545	$413.56	$523.32	$1.00 – $11,998
4	Humana fee schedule · outpatient · +36 other terms	439	$195.47	$390.36	$1.10 – $5,258
5	Cigna fee schedule · outpatient · +35 other terms	356	$447.73	$718.09	$29.51 – $9,210
6	Molina fee schedule · outpatient · +36 other terms	267	$210.35	$225.08	$1.00 – $1,477
7	Anthem fee schedule · outpatient · +36 other terms	225	$416.00	$398.27	$4.14 – $7,739
8	WellCare fee schedule · outpatient · +28 other terms	190	$187.04	$215.02	$42.25 – $1,676
9	MultiPlan fee schedule · outpatient · +24 other terms	135	$2,094	$2,073	$68.77 – $10,158
10	Ambetter fee schedule · outpatient · +25 other terms	122	$278.44	$269.84	$45.00 – $2,252
11	Devoted facility · fee schedule · outpatient · +20 other terms	113	$175.93	$198.08	$151.72 – $4,872
12	Kaiser fee schedule · outpatient · +30 other terms	112	$368.91	$679.75	$52.90 – $6,602
13	Tricare facility · fee schedule · outpatient · +21 other terms	97	$176.20	$259.72	$48.95 – $5,697
14	Caresource fee schedule · outpatient · +22 other terms	95	$267.10	$345.27	$1.08 – $1,052
15	Aetna Better Health fee schedule · outpatient · +20 other terms	87	$170.33	$188.62	$93.26 – $645.32
16	Highmark facility · fee schedule · outpatient · +23 other terms	76	$265.38	$355.42	$39.89 – $2,154
17	Medica fee schedule · outpatient · +28 other terms	75	$268.29	$741.83	$43.09 – $2,876
18	Oscar facility · fee schedule · outpatient · +23 other terms	70	$256.40	$246.13	$159.70 – $494.05
19	Optum facility · fee schedule · outpatient · +25 other terms	69	$170.44	$189.79	$151.17 – $1,127
20	First Health fee schedule · outpatient · +23 other terms	64	$906.41	$1,295	$63.48 – $8,919
21	Medicaid facility · fee schedule · outpatient · +20 other terms	63	$151.76	$169.63	$80.00 – $385.70
22	Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms	57	$170.18	$233.75	$80.00 – $692.90
23	Medicare other · both · +22 other terms	51	$185.58	$261.09	$163.01 – $1,779
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	42	$177.44	$188.00	$156.38 – $317.45
25	Clover facility · fee schedule · outpatient · +15 other terms	36	$184.73	$181.54	$152.68 – $209.65

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