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Illinois rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $123 · 10th–90th $87$2950%20%10th90th$123Professionalmedian $138 · 10th–90th $78$4070%10%10th90th$138$20.0$100.0$500.0$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
$87.10 / $123.03 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $302.00 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $95.50 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $138.04 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $144.54 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $81.28 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $120.23 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $218.78 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $269.15 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $114.82 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $154.88 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $446.68 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $208.93 / $660.69
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $239.88 / $794.33
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $245.47
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $102.33 / $107.15
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $125.89 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $295.12 / $758.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $131.83 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $162.18 / $309.03