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Virginia rates for HCPCS 74177

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

Facilitymedian $141 · 10th–90th $78$5500%10%10th90th$141Professionalmedian $162 · 10th–90th $81$4900%10%10th90th$162$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
$77.62 / $141.25 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $380.19 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $269.15 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $288.40 / $457.09
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $3,235.94
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $112.20 / $154.88
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $323.59 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $426.58 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $102.33 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $302.00 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $354.81 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $95.50 / $123.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $263.03 / $354.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $616.60 / $724.44
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $169.82 / $186.21
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $524.81
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $371.54 / $1,621.81
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $112.20 / $173.78
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $309.03 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $389.05 / $707.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $107.15 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $281.84 / $501.19