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California rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $19 · 10th–90th $14$1100%20%10th90th$19Professionalmedian $56 · 10th–90th $14$1620%5%10%10th90th$56$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
26
Typical Low / Median / Typical High
$14.13 / $18.62 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $21.88 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $52.48 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $53.70 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $18.20 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $48.98 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $75.86 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $22.39 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $53.70 / $102.33
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $77.62 / $147.91
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $22.39 / $38.02
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $54.95 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.09 / $14.45 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $18.62 / $34.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $48.98 / $93.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $72.44 / $97.72
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $14.45 / $19.50
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $57.54 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $16.60 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $60.26 / $107.15
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $190.55 / $190.55
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $331.13 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.11 / $57.54
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $70.79 / $128.82
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $17.38 / $32.36
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $46.77 / $85.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $162.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $56.23 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.22 / $63.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $39.81 / $117.49