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New York rates for HCPCS 74177

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

Facilitymedian $107 · 10th–90th $91$2880%20%10th90th$107Professionalmedian $182 · 10th–90th $81$5620%10%10th90th$182$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
$91.20 / $107.15 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $416.87 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $95.50 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $281.84 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $239.88 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $95.50 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $245.47 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $97.72 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $281.84 / $512.86
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $338.84 / $467.74
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
$251.19 / $457.09 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $123.03 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $331.13 / $1,023.29
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $416.87 / $630.96
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $281.84
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $316.23 / $457.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $436.52 / $776.25
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $125.89 / $213.80
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $309.03 / $562.34
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $79.43 / $131.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $363.08 / $616.60
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $104.71 / $199.53
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $812.83
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $125.89 / $229.09
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $323.59 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $114.82 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $309.03 / $891.25
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $100.00 / $190.55
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $776.25
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $125.89 / $218.78
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $302.00 / $562.34