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Utah rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $59 · 10th–90th $59$590%50%$59Professionalmedian $115 · 10th–90th $49$3160%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $245.47 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $57.54 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $173.78 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $245.47 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $154.88 / $275.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $194.98
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $223.87 / $316.23
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $85.11 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $141.25 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $208.93 / $316.23
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $104.71 / $162.18
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $104.71 / $165.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $128.82 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $194.98 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $47.86 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $104.71 / $275.42