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Texas rates for HCPCS 72191

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

Facilitymedian $87 · 10th–90th $71$5370%20%10th90th$87Professionalmedian $219 · 10th–90th $81$4680%5%10th90th$219$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
$70.79 / $79.43 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $87.10 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $208.93 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $218.78 / $323.59
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $95.50 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $295.12 / $616.60
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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $85.11 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $346.74 / $676.08
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $97.72 / $186.21
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $239.88 / $501.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $251.19
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $288.40 / $660.69
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $141.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $794.33
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $89.13 / $165.96
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $281.84 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $91.20 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $302.00 / $537.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $316.23
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $177.83 / $213.80