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MRI of the Pelvis, Without Contrast

New Mexico 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 July 2026.

Facilitymedian $123 · 10th–90th $93$1780%20%10th90th$123Professionalmedian $257 · 10th–90th $71$7080%5%10th90th$257$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$93.33
Median
$123.03
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$478.63
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$141.25
Typical High
$323.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$186.21
Typical High
$741.31
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$281.84
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$162.18
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$537.03
Typical High
$831.76
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$91.20
Typical High
$134.90
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$457.09
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$316.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$537.03
Typical High
$794.33
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$102.33
Typical High
$134.90
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$457.09
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$436.52
Typical High
$812.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$83.18
Typical High
$436.52
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$380.19
Typical High
$602.56