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Alaska rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $288 · 10th–90th $166$3470%50%10th90th$288Professionalmedian $145 · 10th–90th $52$3890%5%10%10th90th$145$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $288.40 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $186.21 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $61.66 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $416.87 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $102.33 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $263.03 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $288.40 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $380.19 / $870.96
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $147.91 / $302.00
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $223.87 / $501.19
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $549.54 / $912.01
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $208.93 / $346.74
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $346.74 / $575.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $338.84 / $457.09
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $102.33 / $190.55
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $257.04 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $398.11 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $151.36 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $309.03 / $831.76