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Indiana rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $15 · 10th–90th $11$230%10%20%10th90th$15Professionalmedian $44 · 10th–90th $12$1050%5%10th90th$44$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$11.48 / $15.14 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $70.79 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.50 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $51.29 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $15.14 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $47.86 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $61.66 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $19.95 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $41.69 / $64.57
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $43.65 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $67.61 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $18.20 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $45.71 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $53.70 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.85 / $30.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $37.15 / $70.79