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Utah rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $282 · 10th–90th $62$4370%10%10th90th$282Professionalmedian $36 · 10th–90th $10$950%5%10th90th$36$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
$48.98 / $218.78 / $436.52
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.88 / $61.66 / $66.07
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $354.81 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $46.77 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $15.49 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $39.81 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $138.04 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $50.12 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.14 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $33.11 / $57.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $63.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $457.09
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $66.07 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $17.78 / $26.92
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $46.77 / $53.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $85.11
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.98 / $25.70
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $43.65 / $51.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $40.74 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $38.90 / $66.07
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $11.48 / $19.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $26.92 / $46.77