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Ohio rates for HCPCS 72114

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

Facilitymedian $19 · 10th–90th $14$280%20%10th90th$19Professionalmedian $50 · 10th–90th $14$1120%10%10th90th$50$0.2$1.0$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
$14.13 / $19.05 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $21.88 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $56.23 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $17.78 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $74.13 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $23.44 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $50.12 / $83.18
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $70.79 / $104.71
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $17.38 / $25.70
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $53.70 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $53.70 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $20.42 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $60.26 / $104.71
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.63 / $16.98 / $23.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $77.62 / $138.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.42 / $41.69
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $58.88 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $134.90
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $18.62 / $32.36
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $57.54 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $67.61 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $17.78 / $36.31
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $47.86 / $81.28