go back

Massachusetts rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $76 · 10th–90th $37$1860%20%10th90th$76Professionalmedian $117 · 10th–90th $47$3550%5%10th90th$117$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
$37.15 / $69.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $234.42 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $74.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $131.83 / $354.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $302.00 / $302.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $269.15 / $1,659.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $66.07 / $398.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $199.53 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $354.81 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $91.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $295.12 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $70.79 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $204.17 / $371.54
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $128.82 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $70.79 / $125.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $138.04 / $245.47
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $87.10 / $281.84
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $302.00 / $302.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $269.15 / $1,659.59
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $66.07 / $398.11
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $199.53 / $1,348.96
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $251.19 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $67.61 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $169.82 / $338.84