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Indiana rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $209 · 10th–90th $31$5130%10%10th90th$209Professionalmedian $32 · 10th–90th $10$830%10%10th90th$32$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$64.57 / $288.40 / $524.81
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $13.18 / $18.20
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $38.90 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $57.54 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $15.14 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $39.81 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $10.23 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.84 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $263.03 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $14.45 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $25.12 / $40.74
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $33.11 / $50.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $32.36 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $14.45 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.88 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $81.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.30 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $27.54 / $53.70