go back

Iowa rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $107 · 10th–90th $51$3390%20%10th90th$107Professionalmedian $186 · 10th–90th $55$5130%5%10th90th$186$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
$51.29 / $107.15 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $97.72 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $549.54 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $128.82 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $426.58 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $1,000.00
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $100.00 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $302.00 / $812.83
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$398.11 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $85.11 / $363.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $275.42 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $676.08
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $134.90 / $177.83
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $416.87 / $549.54
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $549.54 / $660.69
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $134.90 / $190.55
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $436.52 / $501.19
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $177.83 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $346.74 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $93.33 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $234.42 / $549.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $123.03
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $338.84 / $398.11