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Montana rates for HCPCS 76100

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

Facilitymedian $43 · 10th–90th $43–$540%20%40%90th$43Professionalmedian $98 · 10th–90th $65–$2190%10%10th90th$98$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
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $112.20 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $79.43 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $141.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $151.36 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $97.72 / $147.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $158.49 / $234.42
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $53.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $199.53 / $239.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $97.72 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $117.49 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $89.13 / $128.82