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Wisconsin rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $186 · 10th–90th $158$7080%10%20%10th90th$186Professionalmedian $182 · 10th–90th $78$8130%10%10th90th$182$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
$89.13 / $186.21 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $323.59 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $100.00 / $676.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $151.36 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $125.89 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $162.18 / $602.56
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $125.89 / $234.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $446.68 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $194.98 / $331.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $288.40 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $416.87 / $562.34
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $181.97 / $245.47
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $229.09 / $316.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $776.25 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $407.38 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $245.47 / $912.01
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $229.09 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $245.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $436.52 / $758.58
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $194.98 / $309.03
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $245.47 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $436.52 / $645.65
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $758.58 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $977.24 / $1,230.27
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $426.58 / $524.81
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $537.03 / $1,318.26
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,096.48 / $1,318.26
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $288.40 / $467.74
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $363.08 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $933.25 / $1,445.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $331.13 / $630.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $346.74 / $851.14