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North Carolina rates for HCPCS 72114

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

Facilitymedian $19 · 10th–90th $13$500%10%20%10th90th$19Professionalmedian $54 · 10th–90th $16$1350%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
$13.18 / $19.50 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $21.88 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $57.54 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $22.91 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $53.70 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $40.74 / $47.86
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $89.13 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $93.33 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $25.12 / $41.69
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $67.61 / $120.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $61.66 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $77.62 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $21.38 / $45.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $54.95 / $97.72
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $512.86
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $309.03 / $398.11