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Montana rates for HCPCS 72114

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

Facilitymedian $22 · 10th–90th $22$280%20%40%90th$22Professionalmedian $65 · 10th–90th $17$1580%5%10th90th$65$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $102.33 / $316.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $26.30 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $66.07 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $97.72
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.39 / $22.39 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $22.39 / $39.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $74.13 / $112.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $107.15 / $158.49
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.39 / $22.39 / $28.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $134.90 / $165.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $22.39 / $33.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $74.13 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $18.62 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $51.29 / $87.10