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Complete Pelvis X-ray

Vermont rates for HCPCS 72190

This is a complete X-ray series of the pelvis, the bony ring at the base of the spine that includes the hip sockets, taken from at least three angles. It is used to evaluate the pelvic bones for fractures, joint problems, or other abnormalities.

Facilitymedian $63 · 10th–90th $63$630%50%100%$63Professionalmedian $29 · 10th–90th $11$760%10%10th90th$29$10.0$20.0$50.0$100.0$200.0$500.0

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
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$83.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.77
Median
$15.85
Typical High
$30.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$30.90
Typical High
$48.98
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$181.97
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$15.14
Typical High
$51.29
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$36.31
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$141.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.49
Median
$15.14
Typical High
$36.31
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$38.02
Typical High
$93.33
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$107.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.75
Median
$15.49
Typical High
$30.20
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$38.02
Typical High
$81.28