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Indiana rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Facilitymedian $74 · 10th–90th $68$1020%20%10th90th$74Professionalmedian $145 · 10th–90th $58$3390%5%10th90th$145$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$67.61 / $74.13 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $75.86 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $144.54 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $53.70 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $302.00 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $79.43 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $323.59 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $77.62 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $239.88 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $66.07 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $186.21 / $371.54