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Alaska rates for HCPCS 74177

Computed tomography, abdomen and pelvis; with contrast material(s)

Facilitymedian $617 · 10th–90th $316$1,1750%10%20%10th90th$617Professionalmedian $245 · 10th–90th $83$8320%10%10th90th$245$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $616.60 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $93.33 / $295.12
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $269.15 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $776.25 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $169.82 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $549.54 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $616.60 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $776.25 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $245.47 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $575.44 / $1,318.26
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $1,995.26
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $346.74 / $575.44
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $912.01 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $776.25 / $954.99
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $169.82 / $295.12
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $549.54 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $794.33 / $2,187.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $257.04 / $741.31
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $537.03 / $1,445.44