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Michigan rates for HCPCS 72195

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

Facilitymedian $89 · 10th–90th $85$1120%50%10th90th$89Professionalmedian $263 · 10th–90th $89$8130%5%10th90th$263$20.0$100.0$500.0$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
$85.11 / $89.13 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $478.63 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $141.25 / $363.08
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $524.81 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $302.00 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $181.97 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $67.61 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $346.74 / $371.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $147.91
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $194.98 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $446.68 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $316.23 / $602.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $89.13 / $154.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $436.52 / $954.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $114.82 / $257.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $549.54 / $1,513.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $316.23 / $602.56
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $831.76
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $81.28 / $134.90
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $295.12 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $371.54 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $85.11 / $436.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $295.12 / $575.44