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Utah rates for HCPCS 72190

Radiologic examination, pelvis; complete, minimum of 3 views

Facilitymedian $12 · 10th–90th $12$120%50%$12Professionalmedian $33 · 10th–90th $11$710%5%10%10th90th$33$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $46.77 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $12.30 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $33.11 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $51.29 / $89.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.14 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $35.48 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $33.11 / $69.18
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $69.18 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $19.95 / $25.70
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $50.12 / $66.07
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $85.11
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.05 / $28.84
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $45.71 / $53.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $41.69 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $12.30 / $21.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $28.84 / $52.48