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New York rates for HCPCS 72114

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

Facilitymedian $18 · 10th–90th $13$390%20%10th90th$18Professionalmedian $52 · 10th–90th $14$1320%5%10th90th$52$5.0$20.0$100.0$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
$12.59 / $18.20 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $21.88 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $57.54 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $12.02 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $57.54 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.88 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $44.67 / $100.00
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $66.07 / $87.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.63 / $16.98 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $22.91 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $67.61 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $83.18 / $128.82
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $21.88 / $56.23
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $69.18 / $100.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $144.54
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $19.50 / $34.67
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $60.26 / $109.65
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $64.57 / $100.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $18.62 / $27.54
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $81.28 / $158.49
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $38.02
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $60.26 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $83.18 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $19.05 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $63.10 / $186.21
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.75 / $16.98 / $58.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $154.88
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $19.50 / $41.69
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $60.26 / $125.89