go back

Montana rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $195 · 10th–90th $38$4270%10%10th90th$195Professionalmedian $22 · 10th–90th $8$590%10%20%10th90th$22$2.0$20.0$200.0$2.0K$20.0K

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
$123.03 / $245.47 / $645.65
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $316.23 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.88 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $25.70 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $40.74 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.22
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $30.90 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $44.67 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $13.18 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $29.51 / $53.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $48.98 / $85.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $48.98 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $43.65 / $69.18
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.22
Providence
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $30.90 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $61.66 / $74.13
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $13.18 / $19.05
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $30.90 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $58.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $9.12 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $20.89 / $38.90