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MRI Of The Pelvis With Contrast

Georgia rates for HCPCS 72196

This is a magnetic resonance imaging scan of the pelvic organs and structures performed after an injection of contrast material into a vein, which highlights blood vessels and tissue detail that might not show up clearly otherwise. It's used to evaluate organs such as the bladder, reproductive organs, and surrounding soft tissue for masses, inflammation, or other abnormalities. The contrast injection distinguishes it from a plain pelvic scan done without dye.

Facilitymedian $174 · 10th–90th $85$3890%20%10th90th$174Professionalmedian $288 · 10th–90th $87$6760%5%10th90th$288$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
$85.11
Median
$173.78
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$912.01
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$123.03
Typical High
$204.17
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$309.03
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$109.65
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$229.09
Median
$398.11
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$602.56
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$123.03
Typical High
$218.78
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$457.09
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$109.65
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$251.19
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$251.19
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$912.01
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$97.72
Typical High
$190.55
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$389.05
Typical High
$691.83