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Payers and negotiated rates for CPT 71101-26 | medprice.ai

CPT 71101-26

X-RAY EXAM UNILAT RIBS/CHEST

Payer pricing summary

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Low

$12

Average

$18

Median

$13

High

$38

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 7 Per diem 0 Percent of billed charges 6 Other 0

Filter by billing class

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#
1	UnitedHealthcare fee schedule · both	2	$14	$13	$2	13%	—	$12 – $16
2	Aetna fee schedule · both · +1 other terms	1	$12	$12	—	—	—	$12 – $12
3	Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges	1	$13	$13	$0	1%	—	$13 – $13
4	Cigna fee schedule · both · +1 other terms	1	$12	$12	—	—	—	$12 – $12
5	Highmark facility · percent of total billed charges · outpatientfrom % of charges	1	$27	$27	$8	31%	—	$13 – $36
6	Humana fee schedule · both · +2 other terms	1	$12	$12	—	—	—	$12 – $12
7	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$38	$38	—	—	—	$38 – $38
8	Optum fee schedule · both	1	$12	$12	—	—	—	$12 – $12
9	Tricare fee schedule · both	1	$12	$12	—	—	—	$12 – $12
10	WellCare fee schedule · both	1	$12	$12	—	—	—	$12 – $12

← Hospitals reporting CPT 71101-26 · Snapshot 20261113T090226Z-3ce6c0b8