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Wisconsin rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $26 · 10th–90th $18$630%20%10th90th$26Professionalmedian $56 · 10th–90th $15$2000%5%10th90th$56$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
$13.80 / $21.88 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $93.33 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $26.92 / $123.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $58.88 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $22.91 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $57.54 / $190.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $46.77 / $63.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $141.25 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $33.11 / $51.29
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $107.15 / $162.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $154.88
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $28.18 / $38.90
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $83.18 / $109.65
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $95.50 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $32.36 / $120.23
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $67.61 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $107.15 / $199.53
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $33.11 / $53.70
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $70.79 / $147.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $134.90 / $229.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $109.65 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $234.42 / $331.13
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $64.57 / $120.23
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $169.82 / $295.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $269.15 / $323.59
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $43.65 / $75.86
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $81.28 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $81.28 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $125.89 / $263.03