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MRI Of The Pelvis With Contrast

Nebraska 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?

$631

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,202 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$417 to $708
FacilityA hospital or hospital-owned outpatient department$1,202$851 to $1,585

How much rates vary

Facilitymedian $1,202 · 10th to 90th $457 to $2,570Professionalmedian $617 · 10th to 90th $257 to $1,122
$100$200$500$1K$2Kfacility $1,202professional $617

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
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$501.19
Typical High
$676.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$141.25
Typical High
$208.93
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$354.81
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,230.27
Typical High
$2,511.89
BCBS Nebraska
Setting
Professional
Modifier
26 · Professional part
Typical Low
$138.04
Median
$144.54
Typical High
$154.88
BCBS Nebraska
Setting
Professional
Modifier
TC · Technical part
Typical Low
$302.00
Median
$338.84
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$501.19
Median
$660.69
Typical High
$794.33
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$151.36
Median
$186.21
Typical High
$204.17
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$346.74
Median
$457.09
Typical High
$562.34
Medica
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$588.84
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$436.52
Median
$707.95
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$204.17
Typical High
$660.69
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$309.03
Median
$512.86
Typical High
$2,951.21
Midlands
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$676.08
Typical High
$707.95
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$154.88
Median
$199.53
Typical High
$204.17
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$354.81
Median
$467.74
Typical High
$501.19
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$501.19
Median
$676.08
Typical High
$933.25
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$208.93
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$588.84
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$436.52
Median
$676.08
Typical High
$1,174.90
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$309.03
Median
$501.19
Typical High
$912.01

Where Nebraska 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.

Nebraska· 5th of 51

$631

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.