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Idaho rates for HCPCS 72191

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

Facilitymedian $224 · 10th–90th $219–$2240%50%10th$224Professionalmedian $251 · 10th–90th $85–$5500%5%10th90th$251$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $363.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $91.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $245.47 / $467.74
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $676.08
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $158.49 / $223.87
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $331.13 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $100.00 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $257.04 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,445.44
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $575.44 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$724.44 / $724.44 / $977.24
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $223.87 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $575.44 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $162.18 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $416.87 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $758.58
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $173.78 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $467.74 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $831.76
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $186.21
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $229.09 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $91.20 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $316.23 / $549.54