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Pennsylvania rates for HCPCS 76100

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

Facilitymedian $74 · 10th–90th $32$1070%10%10th90th$74Professionalmedian $78 · 10th–90th $51$1410%10%10th90th$78$20.0$50.0$100.0$200.0$500.0$1.0K

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
$32.36 / $74.13 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $61.66 / $100.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $89.13 / $165.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $60.26 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $114.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $81.28 / $147.91
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $120.23 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $81.28 / $102.33
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $102.33 / $177.83
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $69.18 / $120.23
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $60.26 / $104.71
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $85.11 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $61.66 / $95.50
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $102.33 / $208.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $27.54 / $31.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $70.79 / $93.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $58.88 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $104.71 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $74.13 / $131.83