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Alaska rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $209 · 10th–90th $40$6760%5%10%10th90th$209Professionalmedian $35 · 10th–90th $11$1020%5%10th90th$35$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$117.49 / $562.34 / $758.58
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $45.71 / $77.62
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $457.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $50.12 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.45 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $50.12 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $18.20 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $41.69 / $81.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $75.86 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $45.71 / $77.62
Moda Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $407.38 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $100.00 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $30.90 / $57.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $74.13 / $128.82
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $162.18 / $234.42
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $43.65 / $72.44
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $117.49 / $165.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $97.72 / $117.49
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $15.14 / $39.81
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.88 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $91.20 / $199.53
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $31.62 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $60.26 / $128.82