go back

New York rates for HCPCS 72196

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

Facilitymedian $123 · 10th–90th $89$2690%20%40%10th90th$123Professionalmedian $275 · 10th–90th $91$6760%5%10th90th$275$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
$112.20 / $123.03 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $125.89 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $302.00 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $93.33 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $251.19 / $724.44
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $309.03 / $426.58
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $93.33 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $645.65 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $123.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $489.78 / $1,698.24
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $371.54 / $562.34
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $112.20 / $371.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $275.42 / $398.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $467.74 / $630.96
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $131.83 / $186.21
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $316.23 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $724.44 / $933.25
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $208.93 / $213.80
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $524.81 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $107.15 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $295.12 / $912.01
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $95.50 / $281.84
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $446.68 / $794.33
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $120.23 / $234.42
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $316.23 / $549.54