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Texas rates for HCPCS 76100

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

Facilitymedian $23 · 10th–90th $17$1780%20%10th90th$23Professionalmedian $76 · 10th–90th $47$1290%10%10th90th$76$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
$16.98 / $19.95 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $56.23 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $72.44 / $93.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.76 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $74.13 / $141.25
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $741.31 / $741.31
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $512.86 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $25.12 / $36.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $100.00 / $181.97
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $69.18 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $72.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $89.13 / $218.78
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $32.36 / $45.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $208.93
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $70.79 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $102.33 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $70.79 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $87.10 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $58.88 / $70.79