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California rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $78 · 10th–90th $52$3470%20%10th90th$78Professionalmedian $219 · 10th–90th $58$6170%5%10th90th$219$10.0$50.0$200.0$1.0K

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 / $70.79 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $363.08 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $251.19 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $323.59 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $57.54 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $81.28 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $346.74 / $616.60
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $741.31
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $95.50 / $169.82
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $295.12 / $549.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $331.13 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $69.18 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $263.03 / $512.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $407.38
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $61.66 / $83.18
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $239.88 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $281.84 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $70.79 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $263.03 / $457.09
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,949.84 / $1,949.84
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $66.07 / $269.15
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $354.81 / $630.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $64.57 / $120.23
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $257.04 / $467.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $338.84 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $269.15 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $63.10 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $208.93 / $478.63