go back

Alabama rates for HCPCS 72195

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

Facilitymedian $105 · 10th–90th $63$1050%50%10th$105Professionalmedian $240 · 10th–90th $83$6170%5%10th90th$240$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
$63.10 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $478.63 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $138.04 / $251.19
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $512.86 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $288.40 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $75.86 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $436.52 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $131.83 / $169.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $309.03 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $446.68 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $104.71 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $338.84 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $75.86 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $213.80 / $602.56