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Ohio rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $68 · 10th–90th $52$1000%20%40%10th90th$68Professionalmedian $115 · 10th–90th $51$3160%10%10th90th$115$1.0$5.0$20.0$100.0$500.0$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
$52.48 / $69.18 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $69.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $104.71 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $50.12 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $70.79 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $199.53 / $331.13
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $251.19
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $97.72 / $97.72
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $151.36 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $100.00 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $229.09 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $70.79 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $144.54 / $302.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $58.88 / $83.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $416.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $70.79 / $134.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $125.89 / $288.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $74.13
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $114.82 / $245.47
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $63.10 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $51.29 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $173.78 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $61.66 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $104.71 / $239.88