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Wisconsin rates for HCPCS 74021

Radiologic examination, abdomen; 3 or more views

Facilitymedian $71 · 10th–90th $27$5370%10%20%10th90th$71Professionalmedian $42 · 10th–90th $13$1510%5%10th90th$42$10.0$20.0$50.0$100.0$200.0$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
$19.05 / $19.05 / $26.92
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.50 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $30.90 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $20.42 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $44.67 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $38.90 / $61.66
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $97.72 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $114.82 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $33.11 / $52.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $81.28 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $537.03 / $707.95
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $128.82
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $28.18 / $38.02
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $66.07 / $91.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $74.13 / $275.42
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $25.70 / $81.28
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $47.86 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $109.65 / $169.82
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $33.11 / $48.98
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $75.86 / $120.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $100.00 / $147.91
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $81.28 / $81.28
Quartz
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $194.98 / $194.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $199.53 / $275.42
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $66.07 / $81.28
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $134.90 / $194.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $194.98 / $269.15
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $30.20 / $45.71
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $53.70 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $128.82 / $316.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $83.18 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $100.00 / $213.80