go back

Texas rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $52 · 10th–90th $43$3240%20%10th90th$52Professionalmedian $112 · 10th–90th $50$2950%5%10%10th90th$112$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
$42.66 / $52.48 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $58.88 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $107.15 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $53.70 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $104.71 / $147.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $181.97 / $239.88
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $52.48
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 / $208.93 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $63.10 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $147.91 / $295.12
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$331.13 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $52.48 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $194.98 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $63.10 / $128.82
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $117.49 / $275.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $109.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $128.82 / $354.81
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $58.88 / $85.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $208.93 / $407.38
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $61.66 / $100.00
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $147.91 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $371.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $54.95 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $117.49 / $234.42
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $131.83 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $51.29 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $83.18 / $97.72