go back

Connecticut rates for HCPCS 72197

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences

Facilitymedian $417 · 10th–90th $186$4900%20%10th90th$417Professionalmedian $316 · 10th–90th $105$1,2590%5%10th90th$316$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
$186.21 / $416.87 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $575.44 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $165.96 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $338.84 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $891.25 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $199.53 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $602.56 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,071.52 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $158.49 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $831.76 / $1,318.26
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,047.13 / $1,584.89
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $138.04 / $165.96
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $398.11 / $851.14
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $186.21 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $537.03 / $1,819.70
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $134.90 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $363.08 / $1,348.96