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Missouri rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $100 · 10th–90th $25$4170%10%10th90th$100Professionalmedian $32 · 10th–90th $10$760%10%10th90th$32$2.0$10.0$50.0$200.0$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
$42.66 / $165.96 / $446.68
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.23 / $13.18 / $24.55
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $61.66 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $48.98 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $15.14 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $36.31 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $8.51 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $23.44 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.80 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $28.18 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $43.65 / $54.95
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $12.02 / $16.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $32.36 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.63 / $12.30 / $17.38
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$6.76 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $77.62
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $14.79 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $34.67 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $56.23 / $309.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $131.83 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $257.04
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.49 / $83.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $35.48 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $89.13 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $81.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $13.18 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $29.51 / $66.07