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Utah rates for HCPCS 74174

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

Facilitymedian $115 · 10th–90th $115$1150%50%$115Professionalmedian $240 · 10th–90th $98$6760%5%10%10th90th$240$20.0$50.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $131.83 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $380.19 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $549.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $125.89 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $416.87 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $645.65 / $1,148.15
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $169.82 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $478.63 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $562.34 / $891.25
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $213.80 / $323.59
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $354.81 / $562.34
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $416.87 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $758.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $97.72 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $363.08 / $616.60