go back

Hawaii rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $54 · 10th–90th $47$630%10%20%10th90th$54Professionalmedian $141 · 10th–90th $51$4170%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $53.70 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $70.79 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $120.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $63.10 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $158.49 / $263.03
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $426.58
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $74.13 / $77.62
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $302.00 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $169.82 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $56.23 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $114.82 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $269.15 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $87.10 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $194.98 / $446.68
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $501.19
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $75.86 / $117.49
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $234.42 / $398.11