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South Dakota rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $295 · 10th–90th $85$4170%20%10th90th$295Professionalmedian $20 · 10th–90th $8$600%20%10th90th$20$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
$134.90 / $302.00 / $436.52
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $316.23 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.02 / $51.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $8.32 / $21.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $30.90 / $213.80
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $75.86 / $194.98
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $46.77 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $138.04
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $47.86 / $177.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $16.22 / $24.55
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $35.48 / $162.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $60.26 / $72.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $17.78 / $20.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $41.69 / $52.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $45.71 / $54.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $14.13 / $16.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $31.62 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $51.29 / $77.62
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.79 / $21.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $35.48 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $16.98 / $16.98
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $39.81 / $39.81