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Illinois rates for HCPCS 72197

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

Facilitymedian $186 · 10th–90th $110$5250%10%20%10th90th$186Professionalmedian $331 · 10th–90th $110$1,0720%5%10th90th$331$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
$109.65 / $186.21 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $186.21 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $354.81 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $117.49 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $257.04 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $380.19 / $660.69
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $602.56 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $151.36 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $416.87 / $1,122.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $1,023.29 / $4,265.80
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $208.93 / $1,023.29
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $741.31 / $3,162.28
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $416.87 / $446.68
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $128.82 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $288.40 / $309.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $616.60 / $1,445.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $165.96 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $426.58 / $1,122.02