go back

Wisconsin rates for HCPCS 73721

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material

Facilitymedian $174 · 10th–90th $135$5890%10%20%10th90th$174Professionalmedian $288 · 10th–90th $68$1,0000%5%10th90th$288$20.0$100.0$500.0$2.0K$10.0K

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
$134.90 / $173.78 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $478.63 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $151.36 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$100.00 / $102.33 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $338.84 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $389.05 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $102.33 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$302.00 / $602.56 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $288.40 / $831.76
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $169.82 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $194.98 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $645.65 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $169.82 / $263.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $467.74 / $588.84
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $457.09 / $616.60
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $141.25 / $190.55
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$575.44 / $676.08 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $316.23 / $426.58
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $602.56 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $660.69 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $194.98 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $446.68 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $524.81
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $616.60 / $933.25
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $151.36 / $257.04
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $524.81 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $512.86 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $588.84 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,621.81 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $331.13 / $524.81
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $1,380.38 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,737.80 / $2,818.38
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $407.38 / $831.76
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$812.83 / $1,380.38 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,071.52 / $1,584.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $229.09 / $489.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $575.44 / $1,230.27