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Texas rates for HCPCS 72196

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

Facilitymedian $117 · 10th–90th $78$5250%20%10th90th$117Professionalmedian $269 · 10th–90th $85$5890%5%10th90th$269$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
$74.13 / $107.15 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $109.65 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $288.40 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $223.87 / $331.13
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $83.18
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
$257.04 / $457.09 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $104.71 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $338.84 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,019.95
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $104.71 / $125.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $794.33
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $295.12 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $223.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $275.42 / $977.24
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.42 / $93.33 / $134.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $870.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $102.33 / $165.96
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $323.59 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $812.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $89.13 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $323.59 / $616.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $269.15 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $97.72
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $186.21 / $223.87