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Illinois rates for HCPCS 72195

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

Facilitymedian $123 · 10th–90th $72$3470%10%20%10th90th$123Professionalmedian $251 · 10th–90th $85$7590%5%10th90th$251$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
$72.44 / $123.03 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $478.63 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $125.89 / $309.03
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$213.80 / $524.81 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $302.00 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $190.55 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $66.07 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $120.23 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $269.15 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $100.00 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $295.12 / $645.65
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $630.96 / $2,454.71
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $138.04 / $741.31
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $501.19 / $1,778.28
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $302.00
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $85.11 / $91.20
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $194.98 / $208.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $416.87 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $109.65 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $323.59 / $630.96