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Maryland rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $87 · 10th–90th $71$980%20%40%10th90th$87Professionalmedian $135 · 10th–90th $78$3720%10%10th90th$135$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 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $257.04 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $144.54 / $295.12
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $234.42 / $275.42
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $95.50 / $123.03
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $147.91 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $95.50 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $154.88 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $218.78 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $91.20 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $125.89 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $436.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $93.33 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $138.04 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $208.93 / $302.00
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $87.10 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $120.23 / $177.83