go back

Illinois rates for HCPCS 72191

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

Facilitymedian $195 · 10th–90th $89$4070%20%10th90th$195Professionalmedian $245 · 10th–90th $85$5620%5%10th90th$245$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
$89.13 / $194.98 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $95.50 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $85.11 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $309.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $467.74 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $117.49 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $338.84 / $616.60
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $2,187.76
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $169.82 / $724.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $489.78 / $1,621.81
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $371.54 / $407.38
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $104.71 / $112.20
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $269.15 / $288.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $457.09 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $107.15 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $575.44