CT scan of face and jaw with and without contrast

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 Area W W/O Contrast

Payers reporting CPT 70488

Payer pricing summary

Low

$125

Average

$1.3k

Median

$879

High

$9.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Bcbs Al facility · other · outpatient · +3 other terms	6	$427	$348	$191	55%	7–70	$35 – $545
2	Aetna fee schedule · outpatient · +38 other terms	628	$291	$768	$852	111%	3–30	$1 – $8.4k
3	Anthem fee schedule · outpatient · +34 other terms	219	$497	$447	$515	115%	3–30	$4 – $7.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	539	$440	$586	$672	115%	2–20	$1 – $11.6k
5	Cigna fee schedule · outpatient · +33 other terms	352	$472	$754	$873	116%	1–10	$33 – $10.2k
6	Molina fee schedule · outpatient · +35 other terms	258	$219	$239	$132	55%	1–10	$1 – $1.7k
7	Medica fee schedule · outpatient · +27 other terms	59	$479	$998	$1.1k	106%	1–10	$48 – $3.4k
8	UnitedHealthcare fee schedule · outpatient · +39 other terms	783	$341	$432	$549	127%	—	$1 – $7.4k
9	Humana fee schedule · outpatient · +34 other terms	439	$207	$455	$622	137%	—	$1 – $6.4k
10	WellCare fee schedule · outpatient · +27 other terms	185	$190	$229	$158	69%	—	$48 – $1.5k
11	MultiPlan fee schedule · outpatient · +24 other terms	135	$2.6k	$2.3k	$2.4k	102%	—	$1 – $12.2k
12	Ambetter fee schedule · outpatient · +24 other terms	117	$273	$286	$265	93%	—	$55 – $2.4k
13	Devoted facility · fee schedule · outpatient · +20 other terms	112	$176	$202	$302	150%	—	$152 – $4.9k
14	Kaiser fee schedule · outpatient · +28 other terms	112	$369	$742	$1.2k	163%	—	$59 – $6.8k
15	Tricare facility · fee schedule · outpatient · +21 other terms	95	$176	$270	$533	197%	—	$49 – $4.6k
16	Caresource fee schedule · outpatient · +22 other terms	94	$267	$404	$279	69%	—	$1 – $1.4k
17	Aetna Better Health fee schedule · outpatient · +19 other terms	85	$195	$209	$79	38%	—	$93 – $645
18	Highmark facility · fee schedule · outpatient · +23 other terms	75	$269	$401	$468	117%	—	$45 – $2.6k
19	Oscar facility · fee schedule · outpatient · +23 other terms	70	$256	$263	$64	24%	—	$163 – $494
20	Optum facility · fee schedule · outpatient · +24 other terms	68	$171	$190	$108	57%	—	$151 – $1.1k
21	Medicaid facility · fee schedule · outpatient · +19 other terms	65	$175	$192	$79	41%	—	$100 – $386
22	First Health fee schedule · outpatient · +23 other terms	63	$1.1k	$1.4k	$2.1k	152%	—	$71 – $10.7k
23	Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms	56	$199	$264	$150	57%	—	$100 – $693
24	Medicare facility · fee schedule · outpatient · +22 other terms	43	$181	$331	$617	186%	—	$156 – $4.8k
25	Cigna Healthspring fee schedule · outpatient · +11 other terms	40	$184	$197	$47	24%	—	$163 – $355

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