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Wisconsin rates for HCPCS 72129

Computed tomography, thoracic spine; with contrast material

Facilitymedian $129 · 10th–90th $112$5250%20%10th90th$129Professionalmedian $178 · 10th–90th $60$4790%5%10th90th$178$20.0$50.0$100.0$200.0$500.0$1.0K$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
$112.20 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $275.42 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $89.13 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $186.21 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $331.13 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $89.13 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $229.09 / $676.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $177.83 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $478.63 / $707.95
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $134.90 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $316.23 / $478.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $575.44
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $128.82 / $173.78
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $251.19 / $426.58
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $457.09 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $128.82 / $436.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $338.84 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $309.03
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $467.74 / $776.25
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $138.04 / $223.87
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $371.54 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $426.58 / $1,023.29
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $524.81 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $1,096.48 / $1,949.84
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $302.00 / $436.52
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $891.25 / $1,949.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,023.29 / $1,479.11
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $213.80 / $331.13
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $537.03 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $380.19 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $263.03 / $446.68
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $275.42 / $562.34