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Washington, DC rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $162 · 10th–90th $49$3550%20%10th90th$162Professionalmedian $170 · 10th–90th $56$3720%5%10%10th90th$170$10.0$20.0$50.0$100.0$200.0$500.0$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
$48.98 / $162.18 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $275.42 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $93.33 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $213.80 / $426.58
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $1,288.25
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $64.57 / $70.79
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $234.42 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $346.74 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $66.07 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $275.42 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $57.54 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $204.17 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $275.42 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $95.50 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $269.15 / $1,096.48