go back

Oklahoma rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $110 · 10th–90th $95$1290%20%40%10th90th$110Professionalmedian $126 · 10th–90th $78$2750%10%10th90th$126$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
$95.50 / $109.65 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $239.88 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $102.33 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $138.04 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $75.86 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $120.23 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $186.21 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $85.11 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $120.23 / $204.17
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 / $218.78 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $524.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $125.89 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $204.17 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $114.82 / $190.55