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Washington rates for HCPCS 72120

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

Facilitymedian $20 · 10th–90th $12$390%10%10th90th$20Professionalmedian $38 · 10th–90th $11$1020%5%10th90th$38$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
$12.30 / $20.42 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.02 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $37.15 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $87.10 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $18.62 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $52.48 / $58.88
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
$56.23 / $87.10 / $120.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $22.91 / $31.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $63.10 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $72.44 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $18.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $53.70 / $93.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $21.38 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $75.86 / $107.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.95 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $56.23 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $33.11
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $117.49
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $22.39 / $30.90
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $63.10 / $87.10
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
$56.23 / $85.11 / $117.49
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $22.39 / $30.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $61.66 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.18 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $37.15 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $95.50
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $12.59 / $22.39
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $38.02 / $72.44