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Washington, DC rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $120 · 10th–90th $41$3020%10%20%10th90th$120Professionalmedian $110 · 10th–90th $45$2950%5%10%10th90th$110$10.0$20.0$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
$40.74 / $120.23 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $77.62 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $120.23 / $338.84
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $165.96 / $1,071.52
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $54.95 / $54.95
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $112.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $281.84 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $64.57 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $204.17 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $50.12 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $97.72 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $194.98 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $154.88 / $588.84