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South Carolina rates for HCPCS 74177

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

Facilitymedian $100 · 10th–90th $83$1320%20%40%10th90th$100Professionalmedian $214 · 10th–90th $81$7410%10%10th90th$214$20.0$50.0$100.0$200.0$500.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $100.00 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $104.71 / $676.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $288.40 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $70.79 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $239.88 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $660.69 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $194.98 / $281.84
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $416.87 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $407.38 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $114.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $288.40 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $107.15 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $269.15 / $457.09