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South Dakota rates for HCPCS 72114

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

Facilitymedian $14 · 10th–90th $14$140%50%100%$14Professionalmedian $54 · 10th–90th $15$1200%5%10%10th90th$54$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $74.13 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $19.50 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $50.12 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $147.91 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $33.88 / $42.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $112.20 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $26.30 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $72.44 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $128.82 / $131.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $31.62 / $38.02
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $91.20 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $102.33 / $120.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.12 / $28.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $74.13 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $107.15 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $27.54 / $39.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $79.43 / $114.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $123.03
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $29.51 / $29.51
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $93.33 / $93.33