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Minnesota rates for HCPCS 72197

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

Facilitymedian $331 · 10th–90th $107$7240%10%10th90th$331Professionalmedian $372 · 10th–90th $123$1,0720%5%10th90th$372$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
$100.00 / $107.15 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $181.97 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $338.84 / $870.96
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $851.14 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $257.04 / $371.54
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $645.65 / $851.14
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $371.54 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $660.69 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $194.98 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $467.74 / $977.24
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $363.08 / $724.44
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,047.13
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $275.42
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $371.54 / $776.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,071.52 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $257.04 / $891.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $724.44 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $676.08 / $2,951.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $275.42 / $851.14
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $707.95 / $2,137.96