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MRI of the Pelvis, Without Contrast

Nebraska rates for HCPCS 72195

A magnetic resonance imaging (MRI) scan creates detailed images of the pelvic organs and soft tissues, such as the bladder, reproductive organs, and surrounding muscles, without an injected contrast dye. It uses magnetic fields and radio waves instead of X-rays to help evaluate pain, masses, or other pelvic abnormalities. This version is done without any contrast material.

Rates data updated October 2026.

How much does MRI of the Pelvis, Without Contrast cost?

$537

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $741 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$372 to $617
FacilityA hospital or hospital-owned outpatient department$741$490 to $1,259

How much rates vary

Facilitymedian $741 · 10th to 90th $363 to $2,570Professionalmedian $525 · 10th to 90th $219 to $977
$100$200$500$1K$2Kfacility $741professional $525

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$467.74
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$288.40
Typical High
$575.44
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$87.10
Typical High
$177.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$199.53
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$72.44
Typical High
$158.49
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$912.01
Typical High
$2,238.72
BCBS Nebraska
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$123.03
Typical High
$131.83
BCBS Nebraska
Setting
Professional
Modifier
TC · Technical part
Typical Low
$245.47
Median
$288.40
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$426.58
Median
$562.34
Typical High
$676.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$128.82
Median
$158.49
Typical High
$169.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$295.12
Median
$389.05
Typical High
$489.78
Medica
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$1,047.13
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$371.54
Median
$616.60
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$173.78
Typical High
$575.44
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$263.03
Median
$446.68
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$562.34
Typical High
$602.56
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$128.82
Median
$169.82
Typical High
$169.82
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$302.00
Median
$398.11
Typical High
$436.52
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$426.58
Median
$562.34
Typical High
$794.33
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$724.44
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$177.83
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$316.23
Typical High
$407.38
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$371.54
Median
$588.84
Typical High
$1,047.13
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$147.91
Typical High
$186.21
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$263.03
Median
$436.52
Typical High
$831.76

Where Nebraska sits

The same service costs 6.0 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 7th of 51

$537

WY $912UT $151

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.