go back

New Hampshire rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Facilitymedian $110 · 10th–90th $55$2240%20%10th90th$110Professionalmedian $174 · 10th–90th $62$3720%5%10th90th$174$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
$54.95 / $109.65 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $234.42 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $69.18 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $173.78 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $398.11 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $128.82 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $263.03 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $407.38 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $102.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $275.42 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $302.00 / $467.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $107.15 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $213.80 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $338.84 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $91.20 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $229.09 / $407.38
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $46.77 / $56.23