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Oregon rates for HCPCS 72196

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

Facilitymedian $178 · 10th–90th $105$2040%20%10th90th$178Professionalmedian $339 · 10th–90th $112$7590%5%10th90th$339$20.0$50.0$100.0$200.0$500.0$1.0K$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
$104.71 / $177.83 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $128.82 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $338.84 / $562.34
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
$281.84 / $549.54 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $114.82 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $416.87 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $602.56 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $173.78 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $436.52 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $177.83 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $1,023.29
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $169.82 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $436.52 / $741.31
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $229.09 / $691.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $676.08 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $165.96 / $239.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $512.86 / $912.01
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $676.08 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $173.78 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $478.63 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $524.81 / $954.99
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $107.15 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $398.11 / $741.31