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Texas rates for HCPCS 72195

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

Facilitymedian $91 · 10th–90th $58$4370%10%20%10th90th$91Professionalmedian $229 · 10th–90th $69$6030%5%10th90th$229$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
$57.54 / $89.13 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $407.38 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $109.65 / $223.87
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$213.80 / $213.80 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $263.03 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $72.44 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $181.97 / $239.88
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $524.81
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $79.43 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $398.11 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $87.10 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $309.03 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,630.78
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,570.40
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $74.13 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $389.05 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $107.15 / $199.53
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$213.80 / $213.80 / $1,995.26
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $263.03 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $190.55
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $234.42 / $891.25
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $79.43 / $112.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $398.11 / $758.58
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $87.10 / $141.25
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $281.84 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $75.86 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $302.00 / $537.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $229.09 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $67.61 / $81.28
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $158.49 / $190.55