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Michigan rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $132 · 10th–90th $32$3310%5%10%10th90th$132Professionalmedian $36 · 10th–90th $11$950%5%10th90th$36$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
$46.77 / $158.49 / $338.84
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $12.59 / $15.85
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $50.12 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $17.78 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $38.02 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $11.48 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $24.55 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $63.10
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $22.91
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $46.77 / $63.10
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $34.67 / $58.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $34.67 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $45.71 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $33.11 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $165.96 / $371.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $12.59 / $28.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $66.07 / $295.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $114.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.14 / $40.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $34.67 / $77.62
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $41.69 / $63.10
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.88 / $22.39
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $28.84 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $107.15 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $13.18 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $29.51 / $141.25