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New Jersey rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $112 · 10th–90th $66$5250%10%10th90th$112Professionalmedian $129 · 10th–90th $78$3310%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
$66.07 / $112.20 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $234.42 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $87.10 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $128.82 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $151.36 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $74.13 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $257.04 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $104.71 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $154.88 / $288.40
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $257.04 / $309.03
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $128.82
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $147.91 / $177.83
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $199.53 / $346.74
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $83.18 / $134.90
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $117.49 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $234.42 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $138.04 / $251.19