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Delaware rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $54 · 10th–90th $48–$1260%20%10th90th$54Professionalmedian $102 · 10th–90th $45–$2880%10%10th90th$102$10.0$50.0$200.0$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
$47.86 / $53.70 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $60.26 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $117.49 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $257.04 / $389.05
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $61.66 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $177.83 / $302.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $58.88 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $199.53 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $66.07 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $138.04 / $363.08