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Massachusetts rates for HCPCS 72196

Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

Facilitymedian $135 · 10th–90th $81$3240%20%10th90th$135Professionalmedian $282 · 10th–90th $100$7240%5%10th90th$282$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$81.28 / $134.90 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $457.09 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $128.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $302.00 / $616.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $524.81 / $524.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $575.44 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $114.82 / $676.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $467.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $158.49 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $616.60 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $120.23 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $467.74 / $812.83
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $275.42 / $537.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $457.09 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $120.23 / $218.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $309.03 / $537.03
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $125.89 / $125.89
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $524.81 / $524.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $575.44 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $114.82 / $676.08
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $467.74 / $3,019.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $549.54 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $117.49 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $363.08 / $776.25