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Washington, DC rates for HCPCS 72194

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

Facilitymedian $174 · 10th–90th $51–$3630%20%10th90th$174Professionalmedian $191 · 10th–90th $58–$3890%5%10%10th90th$191$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $173.78 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $74.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $208.93 / $426.58
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $346.74 / $1,513.56
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $74.13 / $74.13
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $281.84 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $416.87 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $69.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $338.84 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $288.40 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $61.66 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $229.09 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $199.53 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $295.12 / $1,202.26