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California rates for HCPCS 74177

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

Facilitymedian $112 · 10th–90th $81$5500%20%10th90th$112Professionalmedian $204 · 10th–90th $83$6920%10%20%10th90th$204$10.0$50.0$200.0$1.0K$5.0K

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
$81.28 / $104.71 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $416.87 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $117.49 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $309.03 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $97.72 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $302.00 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $120.23 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $380.19 / $724.44
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $1,023.29
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $147.91 / $281.84
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $389.05 / $758.58
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $107.15 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $309.03 / $616.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $537.03
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $95.50 / $128.82
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $302.00 / $407.38
HealthNet
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $109.65 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $331.13 / $575.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $2,570.40 / $2,570.40
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$549.54 / $691.83 / $691.83
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $102.33 / $354.81
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $436.52 / $851.14
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $100.00 / $186.21
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $281.84 / $562.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $371.54 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $346.74 / $1,174.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $95.50 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $245.47 / $676.08