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CT Scan of the Pelvis With Contrast

South Dakota 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?

$457

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $355 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$355 to $525
FacilityA hospital or hospital-owned outpatient department$355$355 to $1,175

How much rates vary

Facilitymedian $355 · 10th to 90th $309 to $1,175Professionalmedian $457 · 10th to 90th $275 to $550
$200$500$1Kfacility $355professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$239.88
Typical High
$316.23
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$50.12
Typical High
$58.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$181.97
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$354.81
Median
$549.54
Typical High
$691.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$131.83
Typical High
$158.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$275.42
Median
$426.58
Typical High
$537.03
Medica
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$354.81
Typical High
$588.84
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$457.09
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$107.15
Typical High
$363.08
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$204.17
Median
$346.74
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$524.81
Typical High
$524.81
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$134.90
Typical High
$134.90
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$371.54
Median
$389.05
Typical High
$389.05
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$426.58
Median
$426.58
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$371.54
Typical High
$446.68
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$89.13
Typical High
$104.71
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$436.52
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$104.71
Typical High
$123.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$338.84
Typical High
$371.54
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$436.52
Median
$501.19
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$120.23
Typical High
$120.23
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$338.84
Median
$389.05
Typical High
$389.05

Where South Dakota 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.

South Dakota· 6th of 51

$457

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.