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Minnesota rates for HCPCS 76100

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

Facilitymedian $89 · 10th–90th $28$1910%10%10th90th$89Professionalmedian $135 · 10th–90th $65$2750%5%10th90th$135$5.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $93.33 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $64.57 / $114.82
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $23.44 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $316.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $162.18 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $100.00 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $120.23 / $194.98
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $97.72 / $190.55
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $223.87
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $93.33 / $154.88
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $169.82 / $676.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $117.49 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $158.49 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $114.82 / $199.53