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Michigan rates for HCPCS 74174

Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $135 · 10th–90th $132$1700%50%10th90th$135Professionalmedian $288 · 10th–90th $98$7760%5%10%10th90th$288$20.0$100.0$500.0$2.0K

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
$131.83 / $134.90 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $138.04 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $371.54 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $138.04 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $575.44 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $338.84 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $131.83 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $436.52 / $851.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $134.90 / $223.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $512.86 / $1,023.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $134.90 / $331.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $398.11 / $707.95
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $977.24
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $117.49 / $190.55
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $331.13 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $524.81 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $123.03 / $645.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $407.38 / $630.96