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Minnesota rates for HCPCS 72114

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

Facilitymedian $48 · 10th–90th $14$1050%10%10th90th$48Professionalmedian $62 · 10th–90th $18$1700%5%10th90th$62$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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $77.62 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $19.95 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $51.29 / $114.82
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.02 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $218.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $36.31 / $52.48
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $123.03 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $51.29 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $120.23 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $27.54 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $91.20 / $144.54
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $51.29 / $102.33
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $154.88
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $36.31
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $72.44 / $120.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $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 / $28.18 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $81.28 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $131.83 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $85.11 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $79.43 / $147.91