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Wisconsin rates for HCPCS 74170

Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $155 · 10th–90th $129$6030%20%40%10th90th$155Professionalmedian $240 · 10th–90th $68$9120%5%10th90th$240$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$128.82 / $128.82 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $380.19 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $117.49 / $446.68
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $239.88 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $407.38 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $102.33 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $309.03 / $1,174.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $234.42 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $204.17 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $724.44 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $154.88 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $549.54 / $831.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $794.33
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $144.54 / $199.53
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $436.52 / $549.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $630.96 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $147.91 / $537.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $489.78 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $467.74
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $660.69 / $1,000.00
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $154.88 / $251.19
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $549.54 / $831.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $602.56 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $1,288.25 / $2,398.83
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $346.74 / $537.03
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $1,071.52 / $2,630.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,513.56 / $1,819.70
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $245.47 / $380.19
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,288.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,288.25 / $2,089.30
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $257.04 / $512.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $371.54 / $1,584.89