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New Jersey rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $105 · 10th–90th $47$2950%10%10th90th$105Professionalmedian $102 · 10th–90th $45$2820%10%10th90th$102$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$46.77 / $104.71 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $218.78 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $54.95 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $128.82 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $39.81 / $87.10
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $56.23 / $107.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $263.03 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $64.57 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $181.97 / $331.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $186.21 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $63.10 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $125.89 / $165.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $158.49 / $309.03
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $47.86 / $79.43
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $109.65 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $204.17 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $131.83 / $263.03