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Massachusetts rates for HCPCS 72194

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

Facilitymedian $95 · 10th–90th $45$2290%20%10th90th$95Professionalmedian $224 · 10th–90th $62$6170%5%10th90th$224$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
$44.67 / $95.50 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $288.40 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $524.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $363.08 / $363.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $416.87 / $2,290.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $81.28 / $457.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $346.74 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $660.69 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $112.20 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $436.52 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $83.18 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $363.08 / $676.08
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $275.42 / $501.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $707.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $89.13 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $309.03 / $537.03
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $89.13 / $107.15
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $363.08 / $363.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $416.87 / $2,290.87
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $81.28 / $457.09
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $346.74 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $83.18 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $323.59 / $645.65