go back

North Dakota rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $48 · 10th–90th $35$810%20%40%10th90th$48Professionalmedian $112 · 10th–90th $44$2630%5%10%10th90th$112$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
$34.67 / $47.86 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $181.97 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $67.61 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $125.89 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $309.03 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $107.15 / $120.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $199.53 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $257.04 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $72.44 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $165.96 / $295.12
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $91.20 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $229.09 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $229.09 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $87.10 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $204.17 / $281.84