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Oregon rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $110 · 10th–90th $76$1380%10%20%10th90th$110Professionalmedian $219 · 10th–90th $59$5500%5%10th90th$219$10.0$20.0$50.0$100.0$200.0$500.0$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
$85.11 / $109.65 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $85.11 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $245.47 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $354.81 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $77.62 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $281.84 / $537.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $512.86 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $117.49 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $398.11 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $109.65 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $109.65 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $380.19 / $537.03
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $154.88 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $501.19 / $676.08
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $112.20 / $158.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $371.54 / $524.81
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $512.86 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $117.49 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $398.11 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $346.74 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $72.44 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $257.04 / $537.03