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Missouri rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $132 · 10th–90th $89$3800%20%10th90th$132Professionalmedian $129 · 10th–90th $78$3470%10%10th90th$129$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
$89.13 / $128.82 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $239.88 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $134.90 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $144.54 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $63.10 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $229.09 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $109.65 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $125.89 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $199.53 / $295.12
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $89.13 / $123.03
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $112.20 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $93.33 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $109.65 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $154.88 / $269.15
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $776.25 / $776.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $524.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $147.91 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $239.88 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $100.00 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $134.90 / $245.47