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Illinois rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $81 · 10th–90th $49$1700%10%20%10th90th$81Professionalmedian $105 · 10th–90th $46$3160%5%10%10th90th$105$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
$48.98 / $81.28 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $67.61 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $128.82 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $43.65 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $154.88 / $269.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $229.09 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $67.61 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $151.36 / $323.59
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $363.08 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $97.72 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $251.19 / $954.99
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $158.49 / $169.82
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $102.33 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $229.09 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $75.86 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $169.82 / $302.00