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Utah rates for HCPCS 76100

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

Facilitymedian $34 · 10th–90th $34$340%50%$34Professionalmedian $91 · 10th–90th $52$1740%10%10th90th$91$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $69.18 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $93.33 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $104.71
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $102.33 / $144.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $134.90 / $204.17
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $91.20 / $138.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $85.11 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $74.13 / $112.20