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Montana rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $129 · 10th–90th $129$6030%20%40%90th$129Professionalmedian $148 · 10th–90th $78$4070%10%20%10th90th$148$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $288.40 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $162.18 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $125.89 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $165.96 / $302.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $331.13 / $489.78
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $416.87 / $512.86
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $128.82 / $186.21
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $165.96 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $85.11 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $120.23 / $234.42