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Minnesota rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $174 · 10th–90th $56$3800%10%10th90th$174Professionalmedian $224 · 10th–90th $69$6310%5%10th90th$224$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 / $56.23 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $295.12 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $89.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $218.78 / $426.58
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $134.90 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $478.63 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $194.98 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $446.68 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $104.71 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $346.74 / $575.44
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $194.98 / $380.19
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $602.56
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $147.91
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $275.42 / $457.09
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $114.82 / $363.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $331.13 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $338.84 / $1,862.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $112.20 / $446.68
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $323.59 / $588.84