go back

Iowa rates for HCPCS 72191

Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $138 · 10th–90th $83$7940%20%40%10th90th$138Professionalmedian $219 · 10th–90th $83$5890%5%10%10th90th$219$50.0$100.0$200.0$500.0$1.0K$2.0K

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
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $91.20 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $741.31 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $194.98 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $549.54 / $676.08
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $537.03 / $1,548.82
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $154.88 / $426.58
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $426.58 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $588.84 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $131.83 / $549.54
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $407.38 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $645.65 / $954.99
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $208.93 / $263.03
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $436.52 / $758.58
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $812.83 / $870.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $199.53 / $229.09
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $630.96 / $660.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $229.09 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $457.09 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $109.65 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $331.13 / $616.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $707.95
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $190.55
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $436.52 / $512.86