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Utah rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $309 · 10th–90th $102$6170%10%10th90th$309Professionalmedian $21 · 10th–90th $8$620%5%10%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
$100.00 / $239.88 / $524.81
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $44.67 / $44.67
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $371.54 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $10.96 / $34.67
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $21.38 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $138.04 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.02 / $61.66
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.02 / $18.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $23.99 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $457.09
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $13.80 / $21.38
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $32.36 / $40.74
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $42.66 / $56.23
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $13.18 / $19.95
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $29.51 / $38.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $28.84 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $28.84 / $47.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $9.12 / $15.85
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $19.95 / $33.11