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North Carolina rates for HCPCS 72195

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

Facilitymedian $95 · 10th–90th $69$2140%10%20%10th90th$95Professionalmedian $257 · 10th–90th $89$7760%5%10th90th$257$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 / $95.50 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $478.63 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $138.04 / $281.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$199.53 / $512.86 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $338.84 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $93.33 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $162.18 / $208.93
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $660.69 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $588.84 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $104.71 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $446.68 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $229.09 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $467.74 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $87.10 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $363.08 / $691.83
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,630.78 / $3,630.78
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,511.89 / $2,570.40 / $2,570.40