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Missouri rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $100 · 10th–90th $16$4170%5%10th90th$100Professionalmedian $19 · 10th–90th $8$550%5%10%10th90th$19$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
$29.51 / $199.53 / $478.63
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.13 / $10.47 / $19.50
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $27.54 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $37.15 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $10.47 / $30.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $21.88 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.31 / $8.32 / $13.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $35.48 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $10.72 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $23.44 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $30.90 / $40.74
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $9.33 / $13.49
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $21.38 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $74.13 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.04 / $9.55 / $13.49
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$4.57 / $21.38 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $36.31 / $60.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $11.75 / $20.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $25.12 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $39.81 / $173.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $177.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $12.02 / $77.62
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $26.30 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $89.13 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $61.66
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $10.47 / $39.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $22.39 / $46.77