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Wyoming 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 $62 · 10th–90th $16–$1580%5%10%10th90th$62$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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $83.18 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $21.88 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $66.07 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $57.54
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $109.65 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $30.20 / $48.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $79.43 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $25.70 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $77.62 / $151.36