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Alaska rates for HCPCS 72114

Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views

Facilitymedian $63 · 10th–90th $46$1120%20%40%10th90th$63Professionalmedian $51 · 10th–90th $14$1820%5%10th90th$51$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
$45.71 / $63.10 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $74.13 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $17.38 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $50.12 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $109.65 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $29.51 / $51.29
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $70.79 / $131.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $63.10 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $165.96 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $42.66 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $125.89 / $218.78
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $251.19 / $371.54
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $61.66 / $95.50
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $190.55 / $275.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $151.36 / $181.97
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $22.39 / $53.70
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $54.95 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $141.25 / $309.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $42.66 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $100.00 / $204.17