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MRI Of The Pelvis With Contrast

Maryland 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.

Rates data updated October 2026.

How much does MRI Of The Pelvis With Contrast cost?

$389

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $288 to $427.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $389 · 10th to 90th $282 to $617
$200$500$1Kprofessional $389

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
Professional
Modifier
None (both parts)
Typical Low
$398.11
Median
$426.58
Typical High
$501.19
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$125.89
Typical High
$141.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$281.84
Median
$302.00
Typical High
$371.54
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$288.40
Median
$363.08
Typical High
$416.87
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$112.20
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$257.04
Median
$257.04
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$489.78
Typical High
$977.24
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$69.18
Typical High
$158.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$354.81
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$331.13
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$93.33
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$204.17
Median
$234.42
Typical High
$446.68
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$407.38
Typical High
$831.76
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$79.43
Typical High
$199.53
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$309.03
Typical High
$676.08
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$281.84
Median
$281.84
Typical High
$446.68
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$81.28
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$199.53
Typical High
$323.59
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$213.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$323.59
Median
$323.59
Typical High
$338.84

Where Maryland sits

The same service costs 5.6 times more in Wyoming than in Texas. 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.

Maryland· 40th of 51

$389

WY $1,072TX $191

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.