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Indiana rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $100 · 10th–90th $83$1320%10%20%10th90th$100Professionalmedian $138 · 10th–90th $78$3630%10%10th90th$138$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
$83.18 / $100.00 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $288.40 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $87.10 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $134.90 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $147.91 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $77.62 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $95.50 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $478.63 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $147.91 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $338.84 / $524.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $104.71 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $151.36 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $93.33 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $131.83 / $234.42