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Texas rates for HCPCS 73201

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

Facilitymedian $56 · 10th–90th $46$3470%20%10th90th$56Professionalmedian $170 · 10th–90th $54$3470%5%10th90th$170$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
$45.71 / $54.95 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $239.88 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $61.66 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $181.97 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $57.54 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $158.49 / $208.93
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $257.04
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $54.95
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $275.42 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $69.18 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $204.17 / $380.19
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,737.80
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $56.23 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $67.61 / $131.83
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $194.98 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $165.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $204.17 / $562.34
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $63.10 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $275.42 / $524.81
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $66.07 / $107.15
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $194.98 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $467.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $199.53 / $354.81
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $199.53 / $239.88
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $54.95 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $144.54 / $173.78