go back

North Dakota rates for HCPCS 72114

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

Facilitymedian $15 · 10th–90th $14$250%50%10th90th$15Professionalmedian $50 · 10th–90th $15$1260%5%10th90th$50$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 / $15.14 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $17.38 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $51.29 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $141.25 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $33.88 / $38.02
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $107.15 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $23.99 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $72.44 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $112.20 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $28.84 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $83.18 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $107.15 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $26.92 / $53.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $77.62 / $123.03