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Idaho rates for HCPCS 27096

Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed

Facilitymedian $1,349 · 10th–90th $166–$3,0200%5%10%10th90th$1,349Professionalmedian $204 · 10th–90th $78–$4900%5%10th90th$204$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
Typical Low / Median / Typical High
$173.78 / $1,202.26 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,348.96 / $2,691.53 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $181.97 / $426.58
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $426.58 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$588.84 / $851.14 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $323.59
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$213.80 / $398.11 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $158.49 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $213.80 / $588.84
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$794.33 / $2,691.53 / $3,235.94
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $204.17 / $380.19
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $346.74 / $831.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $162.18 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $169.82 / $302.00