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South Carolina rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $98 · 10th–90th $83$1260%20%40%10th90th$98Professionalmedian $158 · 10th–90th $78$5010%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
$83.18 / $97.72 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $275.42 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $87.10 / $436.52
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $165.96 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $67.61 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $112.20 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $407.38 / $851.14
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $190.55 / $323.59
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $223.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $109.65 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $151.36 / $263.03
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $407.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $102.33 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $138.04 / $239.88