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Minnesota rates for HCPCS 72196

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

Facilitymedian $263 · 10th–90th $83$6030%10%10th90th$263Professionalmedian $355 · 10th–90th $123$7940%5%10th90th$355$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
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $125.89 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $302.00 / $501.19
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $69.18 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $676.08 / $977.24
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $204.17 / $288.40
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $512.86 / $691.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $295.12 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $154.88 / $257.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $380.19 / $794.33
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $288.40 / $562.34
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $891.25
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $218.78
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $295.12 / $630.96
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $691.83 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $154.88 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $524.81 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $630.96 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $257.04 / $676.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $467.74 / $741.31