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Texas rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $85 · 10th–90th $68$5250%20%10th90th$85Professionalmedian $141 · 10th–90th $76$3470%5%10%10th90th$141$20.0$100.0$500.0$2.0K$10.0K

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
$67.61 / $85.11 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $87.10 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $125.89 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $151.36 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $79.43 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $83.18 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $144.54 / $213.80
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $446.68
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $93.33 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $89.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $144.54 / $257.04
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $1,230.27 / $1,548.82
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$524.81 / $660.69 / $660.69
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $83.18 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $245.47 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $97.72 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $138.04 / $263.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $151.36
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $173.78 / $407.38
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.42 / $95.50 / $134.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $218.78 / $446.68
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $85.11 / $154.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $141.25 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $204.17 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $89.13 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $125.89 / $234.42
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $181.97 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $81.28 / $97.72
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $102.33 / $123.03