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Utah rates for HCPCS 74175

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

Facilitymedian $479 · 10th–90th $105$4790%50%10th$479Professionalmedian $219 · 10th–90th $85$5620%5%10%10th90th$219$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
$104.71 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $125.89 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $245.47 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $478.63 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $104.71 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $354.81 / $549.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $524.81 / $812.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $380.19 / $602.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $724.44
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $177.83 / $269.15
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $281.84 / $446.68
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $331.13 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $83.18 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $275.42 / $549.54