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Idaho rates for HCPCS 72194

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

Facilitymedian $155 · 10th–90th $151$1550%50%10th$155Professionalmedian $219 · 10th–90th $59$4900%5%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
$151.36 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $323.59 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $257.04 / $416.87
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $109.65 / $151.36
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $331.13 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $66.07 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $234.42 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$338.84 / $407.38 / $407.38
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $660.69 / $851.14
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $154.88 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $489.78 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $112.20 / $158.49
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $371.54 / $549.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $158.49
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
$389.05 / $537.03 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $117.49 / $141.25
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $416.87 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $223.87 / $691.83
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $53.70 / $125.89
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $199.53 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $316.23 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $63.10 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $251.19 / $446.68