go back

Washington rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $132 · 10th–90th $22$5370%5%10%10th90th$132Professionalmedian $40 · 10th–90th $11$1150%10%10th90th$40$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
$63.10 / $288.40 / $575.44
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.30 / $14.79 / $30.90
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $257.04 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $16.22 / $50.12
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $42.66 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $16.98 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $50.12 / $58.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $602.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $120.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $22.91 / $31.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $60.26 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $389.05 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $63.10 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $18.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $45.71 / $91.20
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $74.13 / $131.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $21.38 / $165.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $50.12 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $67.61 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $19.50 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $47.86 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $47.86 / $77.62
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.88 / $45.71
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $54.95
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Premera BCBS
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $114.82
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $22.39 / $30.90
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $61.66 / $85.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $295.12 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $22.39 / $30.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $57.54 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $354.81 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $48.98 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.49 / $35.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $33.11 / $74.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $12.59 / $22.39
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $36.31 / $69.18