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Alaska rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $263 · 10th–90th $151$4470%20%10th90th$263Professionalmedian $151 · 10th–90th $51$3890%5%10th90th$151$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
$173.78 / $263.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $181.97 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $64.57 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $120.23 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $407.38 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $93.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $295.12 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $263.03 / $446.68
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $371.54 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $138.04 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $229.09 / $501.19
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $630.96 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $190.55 / $316.23
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $446.68 / $660.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $478.63
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $93.33 / $173.78
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $263.03 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $436.52 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $141.25 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $331.13 / $954.99