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Maine rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $155 · 10th–90th $32$4370%10%10th90th$155Professionalmedian $22 · 10th–90th $8$510%10%10th90th$22$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$48.98 / $239.88 / $457.09
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.55 / $10.47 / $45.71
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $75.86 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $67.61
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $9.33 / $22.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $21.88 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $39.81 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $11.75 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $27.54 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $69.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.59 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $26.92 / $48.98
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $79.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.59 / $23.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $30.90 / $58.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $3,981.07
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.77 / $10.00 / $1,174.90
Martin's Point
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $23.44 / $2,818.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $35.48 / $67.61
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.96 / $19.95
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $24.55 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $12.59 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $30.20 / $77.62