go back

North Carolina rates for HCPCS 73201

Computed tomography, upper extremity; with contrast material(s)

Facilitymedian $76 · 10th–90th $55$1910%20%10th90th$76Professionalmedian $178 · 10th–90th $59$4680%5%10th90th$178$10.0$50.0$200.0$1.0K

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
26
Typical Low / Median / Typical High
$54.95 / $75.86 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $239.88 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $85.11 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $208.93 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $100.00 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $138.04 / $165.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $457.09 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $380.19 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $83.18 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $295.12 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $199.53 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $234.42 / $416.87
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,737.80 / $1,737.80
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $436.52
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,380.38 / $1,380.38