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Connecticut rates for HCPCS 72114

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

Facilitymedian $59 · 10th–90th $20$680%20%10th90th$59Professionalmedian $51 · 10th–90th $14$1480%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $58.88 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $21.88 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $51.29 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.95 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $60.26 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $23.44 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $70.79 / $134.90
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $102.33
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $19.95 / $26.92
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $69.18 / $81.28
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.88 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $81.28 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $18.62 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $60.26 / $107.15