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Washington rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Facilitymedian $200 · 10th–90th $44$3310%10%10th90th$200Professionalmedian $132 · 10th–90th $81$3090%5%10%10th90th$132$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Typical Low / Median / Typical High
$97.72 / $213.80 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $275.42
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $489.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $218.78 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $229.09 / $363.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $218.78 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $218.78 / $302.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $173.78 / $213.80
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $44.67 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $218.78 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $309.03 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $812.83