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New Hampshire rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $66 · 10th–90th $16$4570%5%10th90th$66Professionalmedian $21 · 10th–90th $8$580%5%10th90th$21$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
$38.90 / $177.83 / $467.74
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.02 / $30.90
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $42.66 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $93.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $8.91 / $21.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $19.95 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $27.54 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $8.51 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $158.49 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.88 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.90 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $181.97 / $645.65
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $13.80 / $24.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $31.62 / $60.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $13.80 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $37.15 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.88 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $30.90 / $64.57
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $28.18
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.31 / $6.31 / $8.32
Well Sense
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $17.38 / $19.50