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Missouri rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $76 · 10th–90th $52$2240%10%20%10th90th$76Professionalmedian $102 · 10th–90th $45$2820%5%10%10th90th$102$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
$52.48 / $75.86 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $61.66 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $37.15 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $60.26 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $186.21 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $63.10 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $125.89 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $141.25 / $229.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $52.48 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $91.20 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.48 / $53.70 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $223.87 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $66.07 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $158.49 / $331.13
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
$151.36 / $269.15 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $70.79 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $204.17 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $208.93 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $60.26 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $134.90 / $251.19