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Idaho rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $214 · 10th–90th $107$2290%20%40%10th90th$214Professionalmedian $151 · 10th–90th $78$3630%5%10%10th90th$151$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
$107.15 / $213.80 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $234.42 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $100.00 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $138.04 / $263.03
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $478.63
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $154.88 / $218.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $186.21 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $87.10 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $125.89 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,230.27
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $354.81 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $218.78 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $346.74 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $141.25 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $194.98 / $288.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $123.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $389.05 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $165.96 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $218.78 / $263.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $173.78 / $457.09
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $177.83
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $107.15 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $213.80 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $93.33 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $125.89 / $234.42