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Tennessee rates for HCPCS 72191

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

Facilitymedian $468 · 10th–90th $102$5370%20%10th90th$468Professionalmedian $229 · 10th–90th $83$5010%5%10%10th90th$229$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
$102.33 / $436.52 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $316.23 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $91.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $218.78 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $346.74 / $741.31
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $134.90 / $218.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $389.05 / $616.60
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $457.09 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $120.23 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $354.81 / $645.65
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$575.44 / $676.08 / $676.08
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $446.68 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $102.33 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $316.23 / $512.86