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Illinois rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $95 · 10th–90th $58$1700%10%20%10th90th$95Professionalmedian $186 · 10th–90th $58$4470%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
$57.54 / $95.50 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $87.10 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $51.29 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $229.09 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $338.84 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $77.62 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $257.04 / $407.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $467.74 / $1,445.44
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $109.65 / $407.38
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $346.74 / $1,148.15
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $275.42 / $302.00
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $67.61 / $70.79
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $213.80 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $354.81 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $87.10 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $239.88 / $389.05