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West Virginia rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $55 · 10th–90th $49$910%20%40%10th90th$55Professionalmedian $100 · 10th–90th $46$2450%10%20%10th90th$100$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
$48.98 / $54.95 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $181.97 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $83.18 / $104.71
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $239.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $117.49 / $275.42
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
$109.65 / $309.03 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $67.61 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $223.87 / $741.31
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $81.28 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $251.19 / $467.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $61.66 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $173.78 / $371.54