go back

Michigan rates for HCPCS 72191

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

Facilitymedian $115 · 10th–90th $110$1380%20%40%10th90th$115Professionalmedian $257 · 10th–90th $85$5750%5%10th90th$257$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
$109.65 / $114.82 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $380.19 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $102.33 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $275.42 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $85.11 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $489.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $457.09 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $107.15 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $331.13 / $676.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $138.04 / $208.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $741.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $109.65 / $239.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $309.03 / $562.34
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $380.19 / $776.25
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $95.50 / $154.88
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $263.03 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $407.38 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $97.72 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $302.00 / $512.86