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Idaho rates for HCPCS 76100

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

Facilitymedian $72 · 10th–90th $72$2140%50%90th$72Professionalmedian $91 · 10th–90th $54$1660%5%10%10th90th$91$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $69.18 / $123.03
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $162.18 / $223.87
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $109.65 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $97.72 / $141.25
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $186.21
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $87.10 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $81.28 / $114.82
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $169.82 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $112.20 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $57.54
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $181.97 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $128.82 / $144.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $81.28 / $234.42
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $83.18 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $83.18 / $138.04