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Idaho rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $214 · 10th–90th $41$4070%10%10th90th$214Professionalmedian $41 · 10th–90th $11$790%5%10th90th$41$2.0$10.0$50.0$200.0

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
$54.95 / $309.03 / $416.87
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $23.99 / $28.84
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $338.84 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $56.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $17.38 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $43.65 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $208.93 / $331.13
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $45.71 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $100.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $20.42 / $26.92
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $52.48 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $16.98 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $40.74 / $56.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $134.90
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $79.43 / $79.43
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.47 / $10.47 / $74.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $26.92 / $28.84
Moda Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $204.17 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $20.42 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $52.48 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $30.20 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $380.19
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $81.28 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $21.88 / $26.30
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $60.26 / $69.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.02 / $87.10
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $10.23 / $23.44
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $31.62 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $74.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $12.02 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $28.18 / $52.48