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Washington rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $98 · 10th–90th $62$1660%10%10th90th$98Professionalmedian $214 · 10th–90th $56$5250%5%10th90th$214$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
$61.66 / $72.44 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $85.11 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $89.13 / $147.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $707.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $114.82 / $162.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $389.05 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $436.52 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $87.10 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $338.84 / $575.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $107.15 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $457.09 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $102.33 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $354.81 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $436.52
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $478.63 / $676.08
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $114.82 / $158.49
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $380.19 / $512.86
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $154.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $380.19 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $645.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $70.79 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $229.09 / $489.78
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $512.86
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $61.66 / $109.65
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $208.93 / $398.11