go back

New Jersey rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $74 · 10th–90th $47$4270%10%10th90th$74Professionalmedian $186 · 10th–90th $55$4470%5%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$46.77 / $74.13 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $288.40 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $75.86 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $45.71 / $125.89
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $549.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $69.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $263.03 / $436.52
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $389.05
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $72.44 / $87.10
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $251.19 / $295.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $245.47 / $436.52
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $56.23 / $91.20
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $190.55 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $64.57 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $229.09 / $398.11