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Minnesota rates for HCPCS 72191

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

Facilitymedian $275 · 10th–90th $85$6170%10%10th90th$275Professionalmedian $309 · 10th–90th $102$8130%5%10th90th$309$20.0$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
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $91.20 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $218.78 / $407.38
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $70.79 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $776.25 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $208.93 / $302.00
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $602.56 / $812.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $302.00 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $602.56 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $158.49 / $263.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $446.68 / $741.31
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $295.12 / $588.84
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $794.33
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $223.87
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $346.74 / $575.44
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $616.60 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $162.18 / $549.54
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $436.52 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $575.44 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $147.91 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $426.58 / $758.58