go back

North Carolina rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $66 · 10th–90th $48$1480%20%10th90th$66Professionalmedian $129 · 10th–90th $47$3550%5%10th90th$129$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
$47.86 / $63.10 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $229.09 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $70.79 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $147.91 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $74.13 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $81.28 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $128.82 / $154.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $323.59 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $331.13 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $81.28 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $223.87 / $407.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $117.49 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $251.19 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $66.07 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $181.97 / $295.12
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96