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North Dakota rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $83 · 10th–90th $62$1410%20%40%10th90th$83Professionalmedian $158 · 10th–90th $78$3630%10%10th90th$158$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
$61.66 / $83.18 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $87.10 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $138.04 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $478.63
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $190.55 / $208.93
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $245.47 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $123.03 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $181.97 / $288.40
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $363.08 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $169.82 / $426.58
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $204.17 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $141.25 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $181.97 / $275.42