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Massachusetts rates for HCPCS 72197

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

Facilitymedian $178 · 10th–90th $107$4170%20%10th90th$178Professionalmedian $339 · 10th–90th $115$1,0960%5%10th90th$339$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
$102.33 / $151.36 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $204.17 / $478.63
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $354.81 / $1,288.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $426.58 / $660.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $776.25 / $6,165.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $144.54 / $891.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $575.44 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,202.26 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $204.17 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $776.25 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $151.36 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $575.44 / $1,174.90
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $346.74 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $154.88 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $380.19 / $707.95
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $186.21 / $851.14
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $426.58 / $660.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $776.25 / $6,165.95
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $144.54 / $891.25
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $575.44 / $5,623.41
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $588.84 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $691.83 / $1,445.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $151.36 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $457.09 / $1,071.52