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Utah rates for HCPCS 72114

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

Facilitymedian $21 · 10th–90th $21$210%50%$21Professionalmedian $59 · 10th–90th $16$1510%5%10th90th$59$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $77.62 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.05 / $40.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $57.54 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $22.39 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $58.88 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $33.11 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $23.99 / $38.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $77.62 / $100.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $123.03
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $23.44 / $31.62
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $70.79 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $66.07 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $66.07 / $109.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $16.98 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $48.98 / $83.18