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Ohio rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $63 · 10th–90th $48$930%20%10th90th$63Professionalmedian $112 · 10th–90th $46$3160%10%10th90th$112$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $63.10 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $125.89 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $45.71 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $74.13 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $208.93 / $346.74
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $245.47
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $91.20
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $89.13 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $102.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $234.42 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $66.07 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $162.18 / $346.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.48 / $53.70 / $75.86
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $218.78 / $457.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $69.18 / $125.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $141.25 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $95.50
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $239.88
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $58.88 / $100.00
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $60.26 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $190.55 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $57.54 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $123.03 / $245.47