go back

Texas rates for HCPCS 72114

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

Facilitymedian $12 · 10th–90th $9$1260%10%20%10th90th$12Professionalmedian $47 · 10th–90th $13$1050%5%10%10th90th$47$5.0$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
$9.33 / $11.75 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.85 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $46.77 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $50.12 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $15.49 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $38.02 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $47.86 / $61.66
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $85.11 / $134.90
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $22.39 / $22.39
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
$48.98 / $70.79 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $18.62 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $51.29 / $93.33
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $512.86
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $398.11 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.55 / $12.02 / $19.50
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $17.78 / $37.15
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $56.23 / $107.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $33.11 / $48.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $58.88 / $134.90
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.63 / $16.98 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $69.18 / $138.04
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $17.38 / $31.62
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $48.98 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $16.60 / $41.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $47.86 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $74.13
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.79 / $17.38
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $46.77 / $56.23