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Texas rates for HCPCS 72194

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

Facilitymedian $59 · 10th–90th $48$3630%20%10th90th$59Professionalmedian $200 · 10th–90th $55$4170%5%10%10th90th$200$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
$47.86 / $58.88 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $61.66 / $123.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $208.93 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $54.95 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $169.82 / $245.47
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $169.82 / $169.82
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 / $323.59 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $72.44 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $257.04 / $501.19
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,290.87
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $75.86
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $234.42 / $467.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $208.93
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $234.42 / $512.86
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $66.07 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $323.59 / $660.69
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $69.18 / $114.82
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $245.47 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $63.10 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $257.04 / $457.09
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $234.42 / $281.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $57.54 / $69.18
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $177.83 / $213.80