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Ohio rates for HCPCS 74021

Radiologic examination, abdomen; 3 or more views

Facilitymedian $45 · 10th–90th $14$3720%10%10th90th$45Professionalmedian $28 · 10th–90th $12$650%10%10th90th$28$0.2$1.0$5.0$20.0$100.0$500.0

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
26
Typical Low / Median / Typical High
$12.30 / $16.98 / $44.67
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $63.10 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $97.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $16.60 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $28.18 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $11.22 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $22.39 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $16.98 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $30.20 / $48.98
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $47.86 / $79.43
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.79 / $24.55
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $33.11 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $17.38 / $29.51
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.88 / $64.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.09 / $14.45 / $20.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $81.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.98 / $29.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $33.11 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $91.20
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $15.85 / $28.18
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $35.48 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $43.65 / $83.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.14 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $28.84 / $57.54