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Virginia rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $79 · 10th–90th $42$1910%10%10th90th$79Professionalmedian $110 · 10th–90th $46$2750%5%10th90th$110$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
$41.69 / $79.43 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $186.21 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $63.10 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $120.23 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $177.83 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $60.26 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $117.49 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $165.96 / $831.76
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $54.95 / $85.11
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $138.04 / $190.55
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $63.10 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $181.97 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $154.88 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $52.48 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $100.00 / $134.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $436.52 / $457.09
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $102.33 / $102.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $223.87
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $204.17 / $1,047.13
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $66.07 / $107.15
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $151.36 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $218.78 / $436.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $61.66 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $154.88 / $338.84