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Washington, DC rates for HCPCS 76100

Radiologic examination, single plane body section (eg, tomography), other than with urography

Facilitymedian $112 · 10th–90th $25–$1780%20%40%10th90th$112Professionalmedian $76 · 10th–90th $52–$1410%10%10th90th$76$50.0$100.0$200.0$500.0

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
$25.12 / $112.20 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $57.54 / $95.50
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $302.00
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $63.10 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $81.28 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $29.51 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $69.18 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $131.83 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $93.33 / $194.98