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Illinois rates for HCPCS 72114

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

Facilitymedian $22 · 10th–90th $13$450%10%20%10th90th$22Professionalmedian $52 · 10th–90th $15$1260%5%10th90th$52$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
$13.18 / $22.39 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $21.88 / $57.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $56.23 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $46.77 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $14.79 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $70.79 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $21.88 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $63.10 / $97.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $398.11
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $31.62 / $134.90
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $79.43 / $288.40
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $74.13 / $79.43
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $18.20 / $19.50
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $56.23 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $23.99 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $56.23 / $81.28