go back

Washington 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 $117$3470%10%20%10th90th$186Professionalmedian $372 · 10th–90th $110$1,1480%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
$117.49 / $154.88 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $165.96 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $363.08 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $724.44 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $177.83 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $758.58 / $1,071.52
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $218.78 / $309.03
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $537.03 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $776.25 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $165.96 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $630.96 / $1,174.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $204.17 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $831.76 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $190.55 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $630.96 / $977.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $151.36
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $288.40 / $660.69
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,023.29
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $213.80 / $302.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $537.03 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $758.58 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $218.78 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $537.03 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $630.96 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $123.03 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $478.63 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $758.58
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $117.49 / $208.93
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $288.40 / $537.03