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Delaware rates for HCPCS 72195

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

Facilitymedian $89 · 10th–90th $69–$3240%10%20%10th90th$89Professionalmedian $234 · 10th–90th $72–$6170%5%10th90th$234$20.0$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
$69.18 / $89.13 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $426.58 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $120.23 / $199.53
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $288.40 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $467.74 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $83.18 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $363.08 / $616.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $323.59 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $416.87 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $79.43 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $263.03 / $794.33