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Rhode Island rates for HCPCS 74177

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

Facilitymedian $427 · 10th–90th $427–$4270%50%100%$427Professionalmedian $200 · 10th–90th $81–$5620%10%10th90th$200$20.0$50.0$100.0$200.0$500.0$1.0K

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
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $91.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $275.42 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $436.52 / $707.95
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $107.15 / $177.83
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $288.40 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $707.95
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $128.82 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $398.11 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $371.54 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $102.33 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $263.03 / $398.11