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South Carolina rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $83 · 10th–90th $66$1050%20%40%10th90th$83Professionalmedian $120 · 10th–90th $50$3160%5%10%10th90th$120$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
$66.07 / $83.18 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $234.42 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $74.13 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $162.18 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $38.90 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $302.00 / $501.19
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $100.00 / $151.36
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $169.82 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $186.21 / $323.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $234.42 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $63.10 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $154.88 / $331.13