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Iowa rates for HCPCS 72114

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

Facilitymedian $26 · 10th–90th $13$1260%20%10th90th$26Professionalmedian $51 · 10th–90th $14$1550%5%10th90th$51$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
$12.88 / $25.70 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $83.18 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.95 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $52.48 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $147.91 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $33.88 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $112.20 / $141.25
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $104.71 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $28.18 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $75.86 / $199.53
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $125.89 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $109.65 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $22.91 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $60.26 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $134.90 / $165.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $36.31 / $48.98
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $100.00 / $120.23
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $144.54 / $154.88
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $36.31 / $48.98
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $109.65 / $120.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $48.98 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $83.18 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $24.55 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $53.70 / $104.71
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $123.03
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $29.51
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $79.43 / $93.33