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Texas rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $56 · 10th–90th $46$3470%10%20%10th90th$56Professionalmedian $186 · 10th–90th $52$3720%5%10%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
$45.71 / $54.95 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $63.10 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $204.17 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $181.97 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $57.54 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $177.83 / $234.42
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $257.04
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $54.95
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
$194.98 / $288.40 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $69.18 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $213.80 / $407.38
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,949.84 / $1,949.84
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $56.23 / $79.43
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $67.61 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $218.78 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $190.55
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $213.80 / $457.09
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $63.10 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $288.40 / $562.34
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $66.07 / $107.15
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $204.17 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $58.88 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $213.80 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $223.87 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $54.95 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $169.82 / $204.17