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Alaska rates for HCPCS 72194

Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $186 · 10th–90th $186$1860%50%100%$186Professionalmedian $229 · 10th–90th $58$7590%5%10th90th$229$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $275.42 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $61.66 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $218.78 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $794.33 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $112.20 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $588.84 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $676.08 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $169.82 / $416.87
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $524.81 / $1,174.90
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,047.13 / $1,659.59
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $229.09 / $389.05
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$724.44 / $812.83 / $1,258.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $645.65 / $812.83
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $112.20 / $275.42
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $588.84 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $2,137.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $169.82 / $588.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $501.19 / $1,548.82