go back

Montana rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $31 · 10th–90th $19$310%50%10th$31Professionalmedian $56 · 10th–90th $14$1100%5%10%10th90th$56$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $79.43 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $23.44 / $67.61
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $61.66 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $81.28 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.89 / $34.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $54.95 / $93.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $89.13 / $134.90
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $138.04
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $21.38 / $29.51
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $56.23 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $53.70 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $16.22 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $37.15 / $83.18