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Utah rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Facilitymedian $68 · 10th–90th $68$680%50%$68Professionalmedian $141 · 10th–90th $56$3720%5%10th90th$141$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $281.84 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $79.43 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $218.78 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $309.03 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $223.87 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $363.08
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $288.40 / $501.19
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $93.33 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $194.98 / $363.08
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $263.03 / $398.11
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $117.49 / $141.25
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $144.54 / $223.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $177.83 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $52.48 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $177.83 / $346.74