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Idaho rates for HCPCS 72114

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

Facilitymedian $37 · 10th–90th $32$380%50%10th90th$37Professionalmedian $58 · 10th–90th $16$1260%5%10th90th$58$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
$32.36 / $37.15 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $79.43 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.95 / $44.67
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $57.54 / $112.20
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $112.20 / $154.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $27.54 / $36.31
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $83.18 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $24.55 / $34.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $70.79 / $93.33
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $104.71 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $109.65 / $154.88
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $37.15 / $38.02
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $117.49 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $28.18 / $39.81
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $89.13 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $32.36 / $39.81
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $125.89 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $29.51 / $35.48
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $95.50 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $131.83
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $13.80 / $32.36
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $51.29 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $17.38 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $50.12 / $89.13