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Wisconsin rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $269 · 10th–90th $33$4570%5%10%10th90th$269Professionalmedian $27 · 10th–90th $8$1000%10%10th90th$27$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
$128.82 / $302.00 / $478.63
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $17.38 / $407.38
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $346.74 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $45.71 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $13.18 / $51.29
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $26.30 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $44.67 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $12.88 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $32.36 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $30.20 / $45.71
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $23.44 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $138.04
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $25.12 / $40.74
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $74.13 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $21.38 / $33.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $53.70 / $79.43
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $53.70 / $309.03
DeanCare
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $269.15 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $61.66 / $83.18
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $18.62 / $25.12
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $42.66 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $54.95 / $338.84
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $316.23 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $58.88 / $177.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $21.88 / $89.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $39.81 / $162.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $58.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $63.10 / $114.82
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.50 / $31.62
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $42.66 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $131.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $363.08 / $363.08
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $125.89 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $134.90 / $177.83
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $43.65 / $77.62
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $93.33 / $162.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $147.91 / $173.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $24.55 / $50.12
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $58.88 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $186.21 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $134.90 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $54.95 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $95.50 / $144.54