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Michigan rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $98 · 10th–90th $22$2750%5%10%10th90th$98Professionalmedian $23 · 10th–90th $8$650%5%10%10th90th$23$2.0$10.0$50.0$200.0$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
Typical Low / Median / Typical High
$33.11 / $144.54 / $302.00
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.59
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $27.54 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $107.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $11.75 / $40.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $22.91 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.44 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $8.51 / $13.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $18.20 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $47.86 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $41.69 / $44.67
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $17.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $31.62 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $23.44 / $41.69
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $23.44 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $33.88 / $64.57
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $10.96 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $24.55 / $51.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $141.25 / $316.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.00 / $20.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $30.90 / $91.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $79.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $11.22 / $30.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $22.91 / $50.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $52.48
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $10.23 / $17.38
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $23.44 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $107.15 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $10.47 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $22.91 / $95.50