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Texas rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $269 · 10th–90th $35$6310%10%10th90th$269Professionalmedian $31 · 10th–90th $10$740%10%10th90th$31$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
$66.07 / $346.74 / $724.44
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $8.91 / $323.59
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $234.42 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.88 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $29.51 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $10.47 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $24.55 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $275.42 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $29.51 / $40.74
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $186.21 / $467.74
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $74.13
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $104.71 / $104.71
Christus
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $29.51
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $125.89 / $338.84
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
$29.51 / $41.69 / $77.62
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.88 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $30.20 / $56.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $257.04 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $257.04 / $331.13
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $134.90 / $134.90
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $245.47 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $512.86
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $8.91 / $15.85
Moda Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $213.80 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $46.77 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.88 / $30.90
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $33.11 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $32.36 / $33.11
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $398.11 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $38.90 / $79.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $51.29 / $100.00
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.69 / $12.59 / $18.20
Providence
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $87.10
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $11.75 / $21.38
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.18 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $109.65 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $83.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $10.96 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $26.92 / $56.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $47.86
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $10.96 / $12.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $29.51 / $35.48