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Peritoneal Cavity Contrast X-Ray

Maryland rates for HCPCS 74190

X-ray study of the space inside the abdomen that surrounds the organs, taken after air or contrast material is injected into that space. The contrast spreads out and outlines the cavity, showing its shape and whether it is open, walled off by scarring, or leaking.

Rates data updated October 2026.

How much does Peritoneal Cavity Contrast X-Ray cost?

$447

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $60.26 to $603.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $447 · 10th to 90th $20 to $676
$20$50$100$200$500$1Kprofessional $447

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$446.68
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$19.50
Typical High
$20.89
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$446.68
Median
$489.78
Typical High
$489.78
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$20.42
Median
$602.56
Typical High
$676.08
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$22.91
Typical High
$23.99
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$549.54
Median
$588.84
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$43.65
Median
$50.12
Typical High
$117.49
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.98
Median
$18.62
Typical High
$42.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$30.20
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$67.61
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$25.70
Typical High
$33.88
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$42.66
Typical High
$75.86
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$446.68
Typical High
$1,122.02
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$22.39
Typical High
$48.98
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$426.58
Typical High
$1,096.48
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$64.57
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$19.05
Typical High
$33.88
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$45.71
Typical High
$954.99
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$223.87
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$89.13
Median
$97.72
Typical High
$100.00
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$363.08
Median
$380.19
Typical High
$398.11

Where Maryland sits

The same service costs 11.2 times more in Colorado than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 12th of 51

$447

CO $661MI $58.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.