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Massachusetts rates for HCPCS 72114

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

Facilitymedian $26 · 10th–90th $12$580%20%10th90th$26Professionalmedian $54 · 10th–90th $15$1550%5%10th90th$54$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
$12.02 / $25.70 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $23.44 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $57.54 / $128.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $125.89 / $125.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $398.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $20.42 / $158.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $64.57 / $309.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $28.84 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $95.50 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $23.44 / $42.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $72.44 / $131.83
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $67.61 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $100.00 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $22.39 / $38.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $72.44 / $128.82
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $43.65 / $131.83
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $125.89 / $125.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $398.11
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $20.42 / $158.49
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $64.57 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $21.38 / $46.77
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $64.57 / $134.90