go back

Alaska rates for HCPCS 72195

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)

Facilitymedian $427 · 10th–90th $224$5370%20%40%10th90th$427Professionalmedian $269 · 10th–90th $91$7760%5%10th90th$269$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$223.87 / $426.58 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $436.52 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $112.20 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $275.42 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $776.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $134.90 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $549.54 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $426.58 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $660.69 / $1,479.11
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $199.53 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $457.09 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,047.13 / $1,778.28
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $275.42 / $467.74
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $776.25 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $602.56 / $891.25
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $223.87 / $269.15
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $549.54 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $794.33 / $2,511.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $204.17 / $501.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $549.54 / $1,862.09