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Texas rates for HCPCS 74175

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

Facilitymedian $89 · 10th–90th $71$5370%20%10th90th$89Professionalmedian $219 · 10th–90th $78$4900%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
$70.79 / $87.10 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $93.33 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $213.80 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $89.13 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $208.93 / $281.84
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $302.00 / $380.19
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $87.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $97.72 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $309.03 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $87.10 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $346.74 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $104.71 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $239.88 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $251.19
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $288.40 / $851.14
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $97.72 / $141.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $812.83
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $91.20 / $169.82
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $281.84 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $407.38 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $295.12 / $549.54
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $316.23
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $85.11 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $177.83 / $213.80