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Hawaii rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $44 · 10th–90th $12$3550%10%10th90th$44Professionalmedian $32 · 10th–90th $10$930%5%10th90th$32$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$43.65 / $52.48 / $363.08
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.72 / $12.30 / $14.45
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $43.65 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $47.86 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.79 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $32.36 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $51.29 / $64.57
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $13.49 / $20.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $33.11 / $47.86
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $56.23 / $58.88
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $14.79 / $15.49
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $41.69 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $53.70 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $13.18 / $15.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $40.74 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $77.62 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $22.39 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $39.81 / $199.53
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $63.10 / $81.28
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $16.22 / $23.99
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $46.77 / $61.66