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Ohio rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $162 · 10th–90th $35$5010%5%10%10th90th$162Professionalmedian $31 · 10th–90th $10$780%10%10th90th$31$0.1$0.5$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
$50.12 / $190.55 / $501.19
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.47 / $14.13 / $263.03
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $79.43 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $54.95 / $114.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $16.22 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $40.74 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $12.02 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $24.55 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $288.40 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $44.67 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $14.79 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $30.20 / $47.86
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $56.23 / $75.86
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.49 / $20.89
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $40.74 / $54.95
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $34.67 / $58.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $33.11 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $112.20 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $46.77 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $14.45 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $34.67 / $61.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $245.47 / $467.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.63 / $12.30 / $17.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$6.76 / $44.67 / $316.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $74.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $15.85 / $31.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $34.67 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $75.86
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.80 / $21.88
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $35.48 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $79.43 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $40.74 / $85.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.59 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.84 / $58.88