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New York rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $66 · 10th–90th $55$1380%20%10th90th$66Professionalmedian $115 · 10th–90th $52$3240%5%10%10th90th$115$10.0$50.0$200.0$1.0K$5.0K

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
$54.95 / $66.07 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $69.18 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $125.89 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $28.84 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $107.15 / $281.84
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $125.89 / $204.17
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $58.88 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $281.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $75.86 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $177.83 / $691.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $177.83 / $288.40
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $70.79 / $131.83
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $120.23 / $181.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $199.53 / $338.84
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $74.13 / $128.82
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $138.04 / $208.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $309.03
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $61.66 / $112.20
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $199.53 / $354.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $74.13 / $138.04
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $123.03 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $70.79 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $128.82 / $588.84
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $60.26 / $173.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $199.53 / $389.05
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $74.13 / $147.91
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $128.82 / $245.47