go back

Wisconsin rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $141 · 10th–90th $100$4680%20%10th90th$141Professionalmedian $135 · 10th–90th $52$4680%5%10th90th$135$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
$100.00 / $107.15 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $85.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $128.82 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $79.43 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $154.88 / $489.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $158.49 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $398.11 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $120.23 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $251.19 / $346.74
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $302.00 / $407.38
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $114.82 / $144.54
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $186.21 / $251.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $346.74 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $120.23 / $323.59
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $229.09 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $234.42
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $363.08 / $549.54
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $123.03 / $194.98
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $251.19 / $416.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $851.14
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $467.74 / $467.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $912.01 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $269.15 / $323.59
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $741.31 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $851.14 / $1,000.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $181.97 / $295.12
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $346.74 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $524.81 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $186.21 / $398.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $186.21 / $426.58