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CT Scan of the Pelvis With Contrast

Illinois rates for HCPCS 72193

This is a CT scan of the pelvis taken after an injection of contrast dye into a vein, which highlights blood vessels and organs for a clearer picture. It provides detailed cross-sectional images of pelvic organs and structures, used to evaluate a wide range of conditions.

Rates data updated October 2026.

How much does CT Scan of the Pelvis With Contrast cost?

$295

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $708 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$195 to $427
FacilityA hospital or hospital-owned outpatient department$708$309 to $1,259

How much rates vary

Facilitymedian $708 · 10th to 90th $240 to $2,344Professionalmedian $288 · 10th to 90th $107 to $457
$50$100$200$500$1K$2K$5Kfacility $708professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$549.54
Typical High
$1,513.56
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$56.23
Median
$79.43
Typical High
$141.25
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$165.96
Median
$234.42
Typical High
$524.81
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$245.47
Typical High
$416.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$58.88
Typical High
$91.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$186.21
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$186.21
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$79.43
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$954.99
Typical High
$2,951.21
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$234.42
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$407.38
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$354.81
Typical High
$426.58
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$66.07
Typical High
$100.00
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$269.15
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$371.54
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$85.11
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$281.84
Typical High
$851.14
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$275.42
Typical High
$302.00
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$467.74
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$331.13
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$69.18
Typical High
$109.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$257.04
Typical High
$380.19
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$123.03
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$48.98
Typical High
$54.95
Aetna
Setting
Professional
Modifier
CT · Older CT scanner
Typical Low
$199.53
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$186.21
Median
$194.98
Typical High
$194.98

Where Illinois sits

The same service costs 4.4 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 29th of 51

$295

AK $776UT $178

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.