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South Dakota rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $12 · 10th–90th $12$120%50%$12Professionalmedian $41 · 10th–90th $12$1120%10%10th90th$41$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $70.79 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $14.13 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $58.88 / $112.20
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $125.89 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $29.51 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $95.50 / $120.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $74.13 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $24.55 / $43.65
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $52.48 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $112.20 / $112.20
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $26.92 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $77.62 / $83.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $100.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $22.91 / $26.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $57.54 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $24.55 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $58.88 / $87.10
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $104.71 / $104.71
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $25.70 / $25.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $79.43 / $79.43