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Utah rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $525 · 10th–90th $93$5500%50%10th90th$525Professionalmedian $141 · 10th–90th $76$3980%10%10th90th$141$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
$93.33 / $524.81 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $234.42 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $93.33 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $141.25 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $269.15 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $102.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $147.91 / $263.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $245.47
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $134.90 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $177.83 / $263.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $302.00 / $436.52
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $169.82 / $234.42
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $131.83 / $208.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $398.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $120.23 / $245.47