go back

Maine rates for HCPCS 76100

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

Professionalmedian $89 · 10th–90th $56$1660%10%10th90th$89$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
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $93.33 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $64.57 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $85.11 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $85.11 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $89.13 / $169.82
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $102.33 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $67.61 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $125.89 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $85.11 / $165.96