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South Carolina rates for HCPCS 72114

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

Facilitymedian $15 · 10th–90th $13$250%20%10th90th$15Professionalmedian $49 · 10th–90th $14$1120%5%10th90th$49$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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 / $15.49 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $67.61 / $190.55
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $16.98 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $51.29 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $147.91
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $28.84 / $41.69
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $48.98 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $75.86 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $21.38 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $53.70 / $91.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $70.79 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $18.62 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $51.29 / $87.10