go back

Oklahoma rates for HCPCS 74175

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

Facilitymedian $120 · 10th–90th $95$5370%20%10th90th$120Professionalmedian $219 · 10th–90th $85$4370%5%10th90th$219$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $120.23 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $102.33 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $302.00 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $407.38 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $93.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $316.23 / $489.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $100.00 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $354.81 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $234.42 / $467.74