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Illinois rates for HCPCS 72194

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

Facilitymedian $112 · 10th–90th $62$2690%10%20%10th90th$112Professionalmedian $214 · 10th–90th $62$5130%5%10th90th$214$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
$61.66 / $112.20 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $309.03 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $74.13 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $47.86 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $269.15 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $380.19 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $81.28 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $295.12 / $524.81
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $549.54 / $1,819.70
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $114.82 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $436.52 / $1,380.38
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $331.13
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $70.79 / $74.13
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $239.88 / $257.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $371.54 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $91.20 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $295.12 / $489.78