go back

New Hampshire rates for HCPCS 74174

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

Facilitymedian $95 · 10th–90th $95$2400%50%90th$95Professionalmedian $339 · 10th–90th $100$8130%5%10th90th$339$100.0$200.0$500.0$1.0K$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
$95.50 / $95.50 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $467.74 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $109.65 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $338.84 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $128.82 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $912.01 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $234.42 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $645.65 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $794.33 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $165.96 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,202.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $691.83 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $181.97 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $501.19 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $660.69 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $489.78 / $851.14
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $85.11 / $102.33