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Ohio rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $16 · 10th–90th $12$270%20%10th90th$16Professionalmedian $42 · 10th–90th $13$1020%10%10th90th$42$0.2$1.0$5.0$20.0$100.0$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
$12.02 / $15.85 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $19.95 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $54.95 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $41.69 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $13.18 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $37.15 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $60.26 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $20.42 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $38.90 / $63.10
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $100.00
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $16.22 / $25.12
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $47.86 / $75.86
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $43.65 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $114.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $18.20 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $46.77 / $85.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.09 / $14.45 / $20.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $104.71
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $19.50 / $42.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $45.71 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $114.82
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $16.60 / $28.84
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $47.86 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $54.95 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.85 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $38.90 / $74.13