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Texas rates for HCPCS 74174

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

Facilitymedian $107 · 10th–90th $85$6610%20%10th90th$107Professionalmedian $295 · 10th–90th $93$6170%5%10th90th$295$20.0$100.0$500.0$2.0K$10.0K

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
$85.11 / $107.15 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $446.68 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $117.49 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $323.59 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $239.88 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $302.00 / $398.11
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $630.96
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $102.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $117.49 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $363.08 / $758.58
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $3,235.94 / $3,235.94
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$660.69 / $831.76 / $831.76
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,089.30 / $2,398.83 / $2,398.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $107.15 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $912.01
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $123.03 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $354.81 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $316.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $363.08 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $120.23 / $169.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $467.74 / $977.24
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $107.15 / $199.53
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $346.74 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $870.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $112.20 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $380.19 / $645.65
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $380.19 / $457.09
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $102.33 / $123.03
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $275.42 / $331.13