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Utah rates for HCPCS 72120

Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views

Facilitymedian $13 · 10th–90th $13$130%50%$13Professionalmedian $39 · 10th–90th $10$1230%5%10th90th$39$10.0$20.0$50.0$100.0$200.0

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $52.48 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.02 / $40.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $36.31 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $56.23 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.14 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $41.69 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.11 / $72.44
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
$56.23 / $67.61 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $17.78 / $26.92
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $50.12 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $91.20
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.98 / $23.44
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $45.71 / $63.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $44.67 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $74.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $11.48 / $19.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $33.11 / $53.70