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Utah rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $87 · 10th–90th $17$870%50%10th$87Professionalmedian $43 · 10th–90th $12$1230%5%10%10th90th$43$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
$16.98 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $19.05 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $44.67 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $66.07 / $104.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $19.95 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $44.67 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $89.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $104.71
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $20.42 / $36.31
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $64.57 / $72.44
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $104.71
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $19.95 / $30.20
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $58.88 / $69.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $54.95 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $89.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.49 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $35.48 / $61.66