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Minnesota rates for HCPCS 74177

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

Facilitymedian $257 · 10th–90th $81$6030%10%10th90th$257Professionalmedian $224 · 10th–90th $83$7940%10%10th90th$224$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 / $87.10 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $389.05 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $107.15 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $275.42 / $776.25
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $72.44 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $776.25 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $213.80 / $309.03
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $588.84 / $794.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $309.03 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $162.18 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $436.52 / $691.83
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $302.00 / $602.56
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $851.14
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $229.09
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $346.74 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $933.25 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $239.88 / $758.58
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $426.58 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $870.96 / $2,511.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $245.47 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $501.19 / $1,778.28