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Washington rates for HCPCS 72114

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

Facilitymedian $27 · 10th–90th $17$560%10%10th90th$27Professionalmedian $60 · 10th–90th $16$1660%5%10th90th$60$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
$16.60 / $26.30 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $316.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $18.62 / $67.61
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $57.54 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $131.83 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $23.44 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $69.18 / $91.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $181.97
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.90 / $42.66
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $107.15 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $26.30 / $42.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $81.28 / $144.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $28.84 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $117.49 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $27.54 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $87.10 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $37.15
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $85.11
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $177.83
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $30.20 / $42.66
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $100.00 / $134.90
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.90 / $40.74
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $95.50 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $19.05 / $42.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $52.48 / $117.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $141.25
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $16.60 / $29.51
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $57.54 / $109.65