go back

Idaho rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Facilitymedian $151 · 10th–90th $83$1950%20%40%10th90th$151Professionalmedian $158 · 10th–90th $59$3720%5%10th90th$158$50.0$100.0$200.0$500.0$1.0K

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
$83.18 / $151.36 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $74.13 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $173.78 / $295.12
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $323.59 / $436.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $109.65 / $151.36
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $204.17 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $269.15 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $66.07 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $165.96 / $338.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$467.74 / $512.86 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $537.03 / $741.31
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $151.36 / $194.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $112.20 / $158.49
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $223.87 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $354.81 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $117.49 / $141.25
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $239.88 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $575.44
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $53.70 / $125.89
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $117.49 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $63.10 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $199.53 / $346.74