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Wyoming rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $52 · 10th–90th $52–$520%50%100%$52Professionalmedian $219 · 10th–90th $56–$5890%5%10%10th90th$219$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $338.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $85.11 / $123.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $257.04 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $912.01 / $912.01
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $323.59 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $870.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $102.33 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $338.84 / $691.83