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New York rates for HCPCS 72194

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

Facilitymedian $87 · 10th–90th $58$1910%20%10th90th$87Professionalmedian $219 · 10th–90th $59$5370%5%10th90th$219$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $87.10 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $75.86 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $263.03 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $63.10 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $199.53 / $537.03
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $245.47 / $331.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $66.07 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $436.52 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $85.11 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $363.08 / $1,148.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $323.59 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $79.43 / $239.88
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $257.04 / $389.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $616.60
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $83.18 / $144.54
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $269.15 / $467.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $316.23
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $69.18 / $144.54
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $676.08
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $83.18 / $151.36
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $288.40 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $354.81 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $77.62 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $281.84 / $1,202.26
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $67.61 / $194.98
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $645.65
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $83.18 / $154.88
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $263.03 / $501.19