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California rates for HCPCS 72114

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

Facilitymedian $23 · 10th–90th $17$1260%10%20%10th90th$23Professionalmedian $65 · 10th–90th $17$2400%5%10th90th$65$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
$16.98 / $21.38 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $100.00 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $22.39 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $63.10 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $15.49 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $26.30 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $70.79 / $131.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $102.33 / $194.98
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.12 / $45.71
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $77.62 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.63 / $16.98 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $21.38 / $39.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $63.10 / $125.89
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $112.20
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $16.60 / $22.39
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $66.07 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $19.05 / $30.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $69.18 / $117.49
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $512.86
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $398.11 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $69.18
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $154.88
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.42 / $36.31
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $61.66 / $114.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $199.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $93.33 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $17.78 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $48.98 / $112.20