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Ohio rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $107 · 10th–90th $83$1620%20%10th90th$107Professionalmedian $132 · 10th–90th $78$3240%10%20%10th90th$132$1.0$5.0$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
$83.18 / $109.65 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $91.20 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $134.90 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $147.91 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $85.11 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $102.33 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $123.03 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $173.78 / $295.12
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $213.80 / $346.74
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $95.50 / $158.49
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $114.82 / $190.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $109.65 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $151.36 / $275.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $93.33 / $134.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $257.04 / $489.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $112.20 / $223.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $147.91 / $269.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $77.62
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $194.98 / $323.59
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $102.33 / $173.78
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $74.13 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $223.87 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $95.50 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $125.89 / $234.42