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Idaho rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $126 · 10th–90th $69$1320%20%40%10th90th$126Professionalmedian $117 · 10th–90th $46$2880%5%10%10th90th$117$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
$69.18 / $123.03 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $56.23 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $162.18 / $281.84
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $239.88 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $123.03
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $151.36 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $208.93 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $58.88 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $128.82 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $758.58 / $758.58
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $501.19 / $501.19
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $123.03 / $131.83
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $467.74
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $89.13 / $128.82
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $165.96 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $331.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $95.50 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $177.83 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $123.03 / $457.09
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $104.71
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $87.10 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $199.53 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $56.23 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $158.49 / $281.84