go back

North Carolina rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $76 · 10th–90th $55$1700%10%20%10th90th$76Professionalmedian $186 · 10th–90th $59$5250%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
$54.95 / $75.86 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $95.50 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $218.78 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $436.52 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $100.00 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $134.90 / $165.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $436.52 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $416.87 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $83.18 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $316.23 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $213.80 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $257.04 / $436.52
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,949.84
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $436.52
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89