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CT Scan of the Pelvis With Contrast

Missouri 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?

$331

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $513 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$257 to $479
FacilityA hospital or hospital-owned outpatient department$513$363 to $1,148

How much rates vary

Facilitymedian $513 · 10th to 90th $263 to $2,512Professionalmedian $331 · 10th to 90th $209 to $1,820
$200$500$1K$2Kfacility $513professional $331

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
$257.04
Median
$446.68
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$223.87
Median
$275.42
Typical High
$426.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$63.10
Typical High
$102.33
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$208.93
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$51.29
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$389.05
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$85.11
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$295.12
Typical High
$436.52
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$346.74
Typical High
$724.44
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$245.47
Typical High
$323.59
BCBS Kansas City
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$60.26
Typical High
$77.62
BCBS Kansas City
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$186.21
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$660.69
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$257.04
Typical High
$457.09
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$57.54
Typical High
$102.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$194.98
Typical High
$371.54
Medica
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$741.31
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$1,819.70
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$363.08
Typical High
$363.08
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$1,513.56
Typical High
$1,513.56
Qualchoice
Setting
Professional
Modifier
TC · Technical part
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$588.84
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$316.23
Typical High
$562.34
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$69.18
Typical High
$138.04
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$234.42
Typical High
$436.52
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
$112.20
Median
$131.83
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$52.48
Typical High
$56.23
Aetna
Setting
Professional
Modifier
CT · Older CT scanner
Typical Low
$190.55
Median
$223.87
Typical High
$234.42
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$181.97
Median
$208.93
Typical High
$218.78

Where Missouri 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.

Missouri· 20th of 51

$331

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.