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North Carolina rates for HCPCS 0174T

Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of film radiographic images, chest radiograph(s), performed concurrent with primary interpretation (List separately in addition to code for primary procedure)

Facilitymedian $30 · 10th–90th $18–$680%20%10th90th$30Professionalmedian $30 · 10th–90th $16–$650%10%10th90th$30$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Typical Low / Median / Typical High
$30.20 / $30.20 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $25.70 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $35.48 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $194.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $30.90 / $61.66
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $117.49 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.09 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $18.62 / $44.67
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $302.00