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Pennsylvania rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $19 · 10th–90th $11$480%10%10th90th$19Professionalmedian $45 · 10th–90th $13$1050%5%10th90th$45$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
$11.22 / $19.50 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $74.13 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $20.42 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $51.29 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $18.62 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $56.23 / $60.26
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $81.28
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $15.49 / $26.92
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $47.86 / $57.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $61.66 / $112.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $19.05 / $35.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $45.71 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $18.20 / $28.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $44.67 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $91.20
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $17.38 / $20.89
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $56.23 / $70.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $107.15
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $16.98 / $27.54
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $42.66 / $81.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $57.54 / $77.62
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $14.79 / $21.38
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $56.23 / $67.61
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $63.10 / $81.28
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $15.49 / $20.42
Independence Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $47.86 / $61.66
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.22 / $16.22 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.85 / $29.51
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $44.67 / $85.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $67.61 / $102.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.30 / $16.60 / $16.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $34.67 / $61.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.59 / $16.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $37.15 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $15.49 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $39.81 / $79.43