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New Hampshire rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $162 · 10th–90th $20$6310%5%10th90th$162Professionalmedian $32 · 10th–90th $10$890%5%10th90th$32$5.0$20.0$100.0$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
$50.12 / $295.12 / $660.69
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.48 / $15.85 / $40.74
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $77.62 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.02 / $28.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $30.90 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $34.67 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $13.18 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $229.09 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $61.66 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.60 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $44.67 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $251.19 / $645.65
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $16.98 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $44.67 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $109.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $18.62 / $26.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $53.70 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.22 / $31.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $40.74 / $91.20
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $39.81
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $8.71 / $10.72
Well Sense
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $25.70 / $28.84