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Cigna brain MRI without and with contrast cost in California (2026): what Cigna pays

MRI of the brain without and then with contrast, CPT 70553. Cigna negotiated rates by area.

Cigna brain MRI without and with contrast cost in California, 2026: Cigna's California median for a brain MRI without and with contrast at doctors' offices and imaging centers is $739. By area, its median runs from $669 (San Francisco) to $870 (Oakland). That is above the typical rate, $606, across the insurers other than Anthem. Original Medicare pays $362 to $427.

Cigna rate by area

AreaCigna
median, middle half
Billing entitiesTypical (excl. Anthem)Original Medicare
San Francisco$669
$456 to $1,054
88$581$418
Oakland$870
$490 to $1,062
44$687$418
San Jose$791
$566 to $1,281
140$597$427
Los Angeles$687
$440 to $1,094
301$574$362

Providers within 20 miles of each downtown. Typical (excl. Anthem): the middle of the insurer medians in that area, leaving out Anthem's rate menu.

Your plan's price

Cigna has many contracts, and your plan uses one of them. Most providers' rates fall in the middle half shown above; the rate for your plan can be higher or lower. For a plan-specific estimate, sign in to the myCigna cost estimator (sign in).

What you would actually pay

The negotiated rate is the total the provider is paid. Your share depends on your plan. If you have not met your deductible, you usually pay the whole negotiated rate: at a $739 rate, that is $739. Once the deductible is met, coinsurance applies: at 20% coinsurance you would pay $148 and the insurer the rest. Plans with a flat copay for this service charge the copay instead.

Going out of network is different. The provider has no agreed rate with your insurer, so they can usually bill their full listed price. Federal and California law limit that in emergencies, for out-of-network clinicians at in-network hospitals and surgery centers and, under California-regulated plans, at other in-network facilities such as imaging centers and labs. Many HMO and EPO plans pay nothing for out-of-network care.

About a brain MRI without and with contrast

One MRI exam of the brain: images are taken without contrast, then again after contrast dye is injected through an IV. It is used to look more closely at tumors, multiple sclerosis, infections, or findings on an earlier scan. Billing code: CPT 70553.

What the price covers

  • Rates here are for the whole service billed as one charge: the scan and the radiologist's reading.
  • The contrast agent itself may be billed as a separate line item.
  • A brain MRI without contrast only (CPT 70551) is a different code with a lower price.

Where these numbers come from

Rates come from the price transparency files Anthem Blue Cross, Blue Shield of California, Aetna, UnitedHealthcare and Cigna publish. We clean the files before summarizing them and only show an insurer when enough providers report a rate. Medicare figures are from the 2026 Physician Fee Schedule. More on how these pages are built.

Related

  • Brain MRI without and with contrast cost in California, all insurers
  • Everything Cigna pays for imaging
  • What Anthem Blue Cross pays for a brain MRI without and with contrast
  • What Blue Shield of California pays for a brain MRI without and with contrast
  • What Aetna pays for a brain MRI without and with contrast
  • What UnitedHealthcare pays for a brain MRI without and with contrast
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