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New York rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $59 · 10th–90th $50$1550%20%40%10th90th$59Professionalmedian $107 · 10th–90th $46$3090%10%10th90th$107$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
$50.12 / $58.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $61.66 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $128.82 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $26.92 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $53.70 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $107.15 / $302.00
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $128.82 / $194.98
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
$131.83 / $302.00 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $70.79 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $204.17 / $724.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $181.97 / $275.42
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $66.07 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $123.03 / $181.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $213.80 / $331.13
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $67.61 / $117.49
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $144.54 / $218.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $257.04
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $57.54 / $97.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $213.80 / $346.74
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $69.18 / $125.89
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $144.54 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $199.53 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $64.57 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $128.82 / $407.38
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $54.95 / $186.21
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $199.53 / $380.19
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $67.61 / $138.04
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $138.04 / $245.47