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Iowa rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $47 · 10th–90th $45$4470%20%40%10th90th$47Professionalmedian $110 · 10th–90th $45$3630%5%10%10th90th$110$10.0$50.0$200.0$1.0K$5.0K

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
$44.67 / $45.71 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $245.47 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $66.07 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $109.65 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $208.93 / $346.74
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $251.19 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $85.11 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $169.82 / $630.96
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $446.68 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $309.03 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $75.86 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $199.53 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $562.34
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $158.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $239.88 / $426.58
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $416.87
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $117.49 / $245.47
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $239.88 / $331.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $102.33 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $81.28 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $158.49 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $104.71
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $162.18 / $190.55