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Pennsylvania rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $148 · 10th–90th $79$3390%10%10th90th$148Professionalmedian $123 · 10th–90th $78$3240%10%10th90th$123$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
$79.43 / $147.91 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $245.47 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $97.72 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $138.04 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $147.91 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $97.72 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $69.18 / $154.88
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $102.33 / $125.89
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $436.52
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $109.65 / $177.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $154.88 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $257.04 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $102.33 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $154.88 / $245.47
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $257.04 / $389.05
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $109.65 / $141.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $141.25 / $177.83
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $380.19
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $93.33 / $169.82
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $125.89 / $213.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $223.87 / $309.03
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $97.72 / $141.25
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $186.21 / $239.88
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $426.58 / $426.58
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $102.33 / $131.83
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $194.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $457.09
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $102.33 / $181.97
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $141.25 / $263.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $275.42 / $407.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $87.10 / $87.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $309.03 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $81.28 / $87.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $102.33 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $97.72 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $128.82 / $218.78