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Utah rates for HCPCS 72197

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

Facilitymedian $129 · 10th–90th $129$6610%50%90th$129Professionalmedian $331 · 10th–90th $100$9120%5%10%10th90th$331$20.0$50.0$100.0$200.0$500.0$1.0K$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
$128.82 / $128.82 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $524.81 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $173.78 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $338.84 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $630.96 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $128.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $436.52 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $691.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $1,096.48
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $169.82 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $407.38 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $1,148.15
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $239.88 / $512.86
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $295.12 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $371.54 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $97.72 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $380.19 / $933.25